Active NPI
Ignacio V Zarate, MD
- Emergency Medicine Physician
- Anaheim, CA
National Provider Identifier
1366481889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G80862
- Practice address
- 1111 W la Palma Ave
Anaheim, CA 92801-2804 - Phone
- (714) 774-1450
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G80862 | CA | Primary |
Addresses
Primary practice location
1111 W la Palma Ave
Anaheim, CA 92801-2804
Mailing address
PO Box 10070
Westminster, CA 92685-0070
Phone (562) 809-3543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G80862D | Medicaid | CA | |
| 00G808620 | Medicaid | CA |
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 |
|---|---|---|---|
| G80862 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Surgical Associates Inc a Medical Corporation | Past | Accepting new patients | |
| Peter a. Beoris, MD, Inc. | Emergency Medicine | Past | Accepting new patients |
| Norwalk Community Emergency Physician Group Inc | Emergency Medicine | Past | Accepting new patients |
| Anaheim Memorial Hospital Emergency Physicians Medical Group | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Anaheim, CA
- NPI 1801843917
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1942388947
-
- Specialist
- Orange, CA
- NPI 1073703245
-
- Emergency Medicine Physician
- Sonora, CA
- NPI 1881703072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1366481889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10070",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926850070",
"telephone_number": "562-809-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012804",
"telephone_number": "714-774-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARATE",
"first_name": "IGNACIO",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G80862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G80862D",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G808620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.