Organization Active NPI

Douglas D. Zhang, M.D. Inc

  • Family Medicine Physician
  • San Leandro, CA
National Provider Identifier
1336215649
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOUGLAS D. ZHANG, M.D. INC
Practice address
13851 E 14TH St Ste 102
San Leandro, CA 94578-2628
Phone
(510) 351-2100
Fax
(510) 357-3389
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Mrs. Doreen Fernandez
Title
Business Department
Phone
(510) 351-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13851 E 14TH St Ste 102
San Leandro, CA 94578-2628

Mailing address

13851 E 14TH St Ste 102
San Leandro, CA 94578-2628
Phone (510) 351-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000644 CA Part B Supplier - Clinic/Group Practice 7810999356 Receives reassigned benefits from 1 practitioner
Practice locations: San Leandro, CA

National Provider Directory

National Provider Directory

Locations

13851 E 14th St
Ste 102
San Leandro, CA 94578
Phone (510) 351-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1336215649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 102",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782628",
            "telephone_number": "510-351-2100",
            "fax_number": "510-357-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 102",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782628",
            "telephone_number": "510-351-2100",
            "fax_number": "510-357-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS D. ZHANG, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "BUSINESS DEPARTMENT",
        "authorized_official_telephone_number": "510-351-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.

Verify at the official NPI Registry.