Individual provider Active NPI

Bettina Zatuchni, MD

  • Obstetrics & Gynecology Physician
  • Pleasanton, CA
National Provider Identifier
1295825073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G86542 Issued in CA
Practice address
5565 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588
Phone
(925) 251-1010
Fax
(925) 251-1017
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G86542 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588

Mailing address

5565 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588
Phone (925) 251-1010

Other identifiers 1

IdentifierTypeStateIssuer
00G865420MedicaidCA

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
I20091118000508 CA Practitioner - Obstetrics/Gynecology 1254439151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1491 Cedarwood LN
Suite D
Pleasanton, CA 94566-6126
Phone (925) 251-1010

1491 Cedarwood LN D
Pleasanton, CA 94566-6126

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86542CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bettina Zatuchni MD a Professional Corporation Obstetrics & Gynecology CurrentSince Sep 14, 2009 Accepting new patients
Waukegan Illinois Hospital Company LLC Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
QHG of Enterprise Inc Past Accepting new patients

Locations

1491 Cedarwood Ln
Ste D
Pleasanton, CA 94566
Phone (925) 251-1010

5565 W Las Positas Blvd
Pleasanton, CA 94588
Phone (803) 583-6735

5565 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588
Phone (925) 251-1010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295825073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-251-1010",
            "fax_number": "925-251-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-251-1010",
            "fax_number": "925-251-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATUCHNI",
        "first_name": "BETTINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G86542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G865420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.