Active NPI
Gul A Zikria, MD
- Specialist
- Lake Forest, CA
National Provider Identifier
1275565731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00G543550
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240918001629 | CA | Order and Referring Only - 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 Health
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00G543550 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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
- gul.zikria@115443077021700.direct.elationemr.com
- gzikria671967@direct.ochin.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1942387188
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1154472058
-
- Critical Access Hospital
- Delhi, NY
- NPI 1801975156
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.