Individual provider Active NPI

J Kirk Zimmer, MD

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1306878772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A026187 Issued in CA
Practice address
15066 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone
(408) 377-9180
Fax
(408) 377-1459
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

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
Family Medicine Physician 207Q00000X A026187 CA Primary

Addresses

Primary practice location

15066 Los Gatos Almaden Rd
Los Gatos, CA 95032

Mailing address

15066 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 377-9180

Other identifiers 1

IdentifierTypeStateIssuer
YYY20599YMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26187CAMDDentist
A026187CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Ridge Medical Group Inc Family Medicine CurrentSince Jan 1, 1975 Accepting new patients

Locations

555 Knowles Dr
Ste 203
Los Gatos, CA 95032
Phone (408) 377-9180

15066 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 377-9180

15066 Los Gatos Almaden Rd
Ste 110
Los Gatos, CA 95032
Phone (408) 377-9180

Interoperability endpoints

  • Direct secure messaging: jameszimmer@brmg.directglo.com

Organizations & group practices 1

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.

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": "1183852800000",
    "number": "1306878772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15066 LOS GATOS ALMADEN RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-377-9180",
            "fax_number": "408-377-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15066 LOS GATOS ALMADEN RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-377-9180",
            "fax_number": "408-377-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "J",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A026187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY20599Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.