Active NPI
Zhike Pruett, N.P.
- Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22373
- Practice address
- 4060 Fourth Ave
Suite 220
San Diego, CA 92103-2116 - Phone
- (866) 284-2771
- Fax
- (619) 297-8379
- NPI assigned
- Sep 30, 2012
- Last updated
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22373 | CA | Primary |
Addresses
Primary practice location
4060 Fourth Ave
Suite 220
San Diego, CA 92103-2116
Mailing address
9610 Granite Ridge Dr
Suite B
San Diego, CA 92123-2684
Phone (866) 284-2771
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gandhi & Gandhi Medical Corporation | Current | Accepting new patients | |
| Prema Sai Medical, P.C. | Current | Accepting new patients | |
| Asim Guha Roy, M.D., Inc | Current | Accepting new patients | |
| NR Medical Associates | Current | Accepting new patients | |
| Elion Brace MD Inc | Current | Accepting new patients | |
| Ali Alamar MD a Professional Corp | Current | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450
2658 Del Mar Heights Rd
Del Mar, CA 92014
Phone (619) 402-4919
1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500
230 Prospect Pl
Ste 340D
San Diego, CA 92118
Phone (559) 593-6450
302 Washington St
San Diego, CA 92103
Phone (800) 790-0890
3520 4th Ave
San Diego, CA 92103
Phone (619) 291-5270
4075 54th St
San Diego, CA 92105
Phone (619) 582-5168
4540 Kearny Villa Rd
Ste 106
San Diego, CA 92123
Phone (858) 430-6656
555 Washington St
San Diego, CA 92103
Phone (619) 260-8300
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ability Home Health Services Inc | Home health agency | 5% Or Greater Direct Ownership Interest (34%) Corporate Officer (20%) Corporate Director (50%) Operational/Managerial Control (12.5%) |
Mar 13, 2020 Mar 13, 2020 Mar 13, 2020 Mar 13, 2020 |
| Blessed Hospice California, Inc. | Hospice | 5% Or Greater Direct Ownership Interest (90%) W-2 Managing Employee |
May 22, 2023 Sep 4, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- San Diego, CA
- NPI 1841728508
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1336745967
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Del Mar, CA
- NPI 1851497465
-
- Internal Medicine Physician
- Chula Vista, CA
- NPI 1760847586
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1275719544
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1649601113
-
- Internal Medicine Physician
- Coronado, CA
- NPI 1497029615
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1578709515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1295086262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9610 GRANITE RIDGE DR",
"address_2": "SUITE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232684",
"telephone_number": "866-284-2771",
"fax_number": "858-268-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"address_2": "SUITE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "866-284-2771",
"fax_number": "619-297-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "ZHIKE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-30",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "22373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.