Active NPI
Daniel C Zovich MD Inc
- Gastroenterology Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A78252
- Legal business name
- DANIEL C ZOVICH MD INC
- Practice address
- 1551 Bishop St Ste 450
San Luis Obispo, CA 93401-4663 - Phone
- (805) 476-6410
- Fax
- (805) 476-6320
- NPI assigned
- Sep 21, 2006
- 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. Daniel C Zovich, MD
- Title
- Owner
- Phone
- (805) 476-6410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A78252 | Primary |
Addresses
Primary practice location
1551 Bishop St Ste 450
San Luis Obispo, CA 93401-4663
Mailing address
PO Box 1187
San Luis Obispo, CA 93406-1187
Phone (805) 476-6410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA78252B | Other | CA | PPIN |
| 00A782520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040719001638 | CA | Part B Supplier - Clinic/Group Practice | 0446239735 |
Receives reassigned benefits from 1 practitioner Practice locations: San Luis Obispo, CA |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Gastroenterology Physician
- Templeton, CA
- NPI 1922145481
Member Of
Locations
1551 Bishop St
#D450
Sn Luis Obisp, CA 93401
Phone (805) 434-2434
1551 Bishop St
Ste D450
Sn Luis Obisp, CA 93401
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- San Luis Obispo, CA
- NPI 1538140017
CA, Gastroenterology
-
- Family Nurse Practitioner
- Templeton, CA
- NPI 1861670705
-
- Family Nurse Practitioner
- Pismo Beach, CA
- NPI 1427083476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1295834091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1187",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934061187",
"telephone_number": "805-476-6410",
"fax_number": "805-476-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 BISHOP ST STE 450",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014663",
"telephone_number": "805-476-6410",
"fax_number": "805-476-6320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL C ZOVICH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "ZOVICH",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-476-6410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": "A78252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WA78252B",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A782520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.