NPIMap

Individual provider Active NPI

Michael Alan Zimmerman, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1366513822
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70706 Issued in CA
Practice address
405 49TH St
Oakland, CA 94609-2101
Phone
(510) 230-2372
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70706 CA Primary

Addresses

Primary practice location

405 49TH St
Oakland, CA 94609-2101

Mailing address

405 49TH St
Oakland, CA 94609-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000546 CA Practitioner - Family Practice 9739225418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temescal Creek Medicine Professional CorporationGroup PAC ID 6103962881, 3 clinicians

Practice addresses (Care Compare)

405 49TH St
Oakland, CA 94609-2101
Phone (510) 388-8711

Hospital & facility affiliations

  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • BLC Homehealth Inc Home health agency, San Leandro, CA, CCN 053137
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70706CAMDSocial Worker
A70706CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temescal Creek Medicine Professional Corporation Family Medicine CurrentSince Aug 5, 2009 Accepting new patients

Locations

405 49th St
Oakland, CA 94609
Phone (510) 230-2372

Interoperability endpoints

  • Direct secure messaging: michael.zimmerman.md.1@25314.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25314/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1366513822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 49TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 49TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092101",
            "telephone_number": "510-230-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.