Individual provider Active NPI

Millard Hugh Zisser, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1346264793
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A30111 Issued in CA
Practice address
8631 W 3Rd St
545-E
Los Angeles, CA 90048-5901
Phone
(310) 659-2770
Fax
(310) 659-1846
NPI assigned
Jul 27, 2006
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A30111 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
545-E
Los Angeles, CA 90048-5901

Mailing address

8631 West Third Street
545-E
Los Angeles, CA 90048-5901
Phone (310) 659-2770

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
I20051208000568 CA Practitioner - Dermatology 7214958057 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 225E
Los Angeles, CA 90048-5993
Phone (310) 659-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision96
Removal of skin lesions1-10
Removal or shaving of skin growth44
Skin biopsy234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30111CAMDDermatology Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1346264793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 WEST THIRD STREET",
            "address_2": "545-E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-659-2770",
            "fax_number": "310-659-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "545-E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-659-2770",
            "fax_number": "310-659-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISSER",
        "first_name": "MILLARD",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A30111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.