Individual provider Active NPI

Jeffery John Zielinski, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1326273244
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G59479 Issued in CA
Practice address
5151 State University Dr
Student Health Center
Los Angeles, CA 90032-4226
Phone
(323) 343-3342
Fax
(323) 343-3304
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G59479 CA Primary

Addresses

Primary practice location

5151 State University Dr
Student Health Center
Los Angeles, CA 90032-4226

Mailing address

666 Locust St.
Apt # 15
Pasadena, CA 91106-1432
Phone (626) 660-6316

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
I20200108002274 CA Practitioner - Emergency Medicine 9830524461 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59479CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Nov 18, 2019 Accepting new patients
Memorialcare Medical Foundation CurrentSince Sep 1, 2021 Accepting new patients
Clinicas de Salud del Pueblo, Inc. CurrentSince Nov 18, 2019 Accepting new patients

Locations

900 Main St
Brawley, CA 92227
Phone (760) 344-6471

223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

14150 Culver Dr
Ste 100
Irvine, CA 92604
Phone (949) 552-4584

Organizations & group practices 4

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1326273244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LOCUST ST.",
            "address_2": "APT # 15",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061432",
            "telephone_number": "626-660-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 STATE UNIVERSITY DR",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324226",
            "telephone_number": "323-343-3342",
            "fax_number": "323-343-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "JEFFERY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G59479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.