Active NPI
Riquaza Zainul Zavahir, M.D.
- Internal Medicine Physician
- Marina del Rey, CA
National Provider Identifier
1326072380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A 95708
- Practice address
- 4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424 - Phone
- (310) 656-1770
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A 95708 | CA | Primary |
Addresses
Primary practice location
4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
8110 Laguna Blvd
Colusa
Elk Grove, CA 95758-8094
Phone (916) 683-3955
Other names 1
- Zainul Riquaza Zavahir
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 95708 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Ca | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Colusa, CA
- NPI 1245210889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326072380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 ADMIRALTY WAY STE 100",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925424",
"telephone_number": "310-656-1770"
}
],
"practiceLocations": [
{
"address_1": "8110 Laguna Blvd",
"address_2": "Colusa",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957588094",
"country_code": "US",
"telephone_number": "916-683-3955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVAHIR",
"first_name": "RIQUAZA",
"middle_name": "ZAINUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A 95708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZAINUL",
"last_name": "ZAVAHIR",
"middle_name": "RIQUAZA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.