Individual provider Active NPI

Gul A Zikria, MD

  • Specialist
  • Lake Forest, CA
National Provider Identifier
1275565731
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G543550 Issued in CA
Practice address
22722 Lambert St Ste 1710
Lake Forest, CA 92630-1618
Phone
(408) 946-9453
Fax
(408) 946-2756
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00G543550 CA Primary

Addresses

Primary practice location

22722 Lambert St Ste 1710
Lake Forest, CA 92630-1618

Mailing address

22722 Lambert St Ste 1710
Lake Forest, CA 92630-1618
Phone (408) 946-9453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001629 CA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4587725635

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, shared by 11 NPIs, 106 clinicians

Practice addresses (Care Compare)

39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040

9460 N Name Uno
Suite 110
Gilroy, CA 95020-3536
Phone (408) 729-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00G543550CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
O'Connor Hospital Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Bay Area Community Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gul.zikria@115443077021700.direct.elationemr.com
  • Direct secure messaging: gzikria671967@direct.ochin.org
  • Direct secure messaging: gzikria126127@santaclaravalley.direct-ci.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1275565731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 LAMBERT ST STE 1710",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301618",
            "telephone_number": "408-946-9453",
            "fax_number": "408-946-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22722 LAMBERT ST STE 1710",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301618",
            "telephone_number": "408-946-9453",
            "fax_number": "408-946-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKRIA",
        "first_name": "GUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G543550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.