Active NPI
Zizmor Medical Group Inc.
- General Practice Physician
- Berkeley, CA
National Provider Identifier
1285249144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ZIZMOR MEDICAL GROUP INC.
- Practice address
- 1935 Addison St Ste a
Berkeley, CA 94704-1354 - Phone
- (341) 222-3800
- NPI assigned
- Sep 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Jeffrey Zizmor, MD
- Title
- Medical Director
- Phone
- (341) 222-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1935 Addison St Ste a
Berkeley, CA 94704-1354
Mailing address
1935 Addison St Ste a
Berkeley, CA 94704-1354
Phone (341) 222-3800
Other names 1
- Quick Test Now
National Provider Directory
National Provider DirectoryLocations
1935 Addison St
Ste A
Berkeley, CA 94704
Phone (341) 222-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599523200000",
"number": "1285249144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 ADDISON ST STE A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041354",
"telephone_number": "341-222-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 ADDISON ST STE A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041354",
"telephone_number": "341-222-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZIZMOR MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A",
"authorized_official_last_name": "ZIZMOR",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "341-222-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quick Test Now",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.