NPIMap

Organization Active NPI

Robert Zalewski-Zaragoza, MD, Inc

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1366857476
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A85005 Issued in CA
Legal business name
ROBERT ZALEWSKI-ZARAGOZA, MD, INC
Practice address
1350 Columbia St Unit 800
San Diego, CA 92101-3456
Phone
(619) 255-1652
NPI assigned
Jun 26, 2014
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Robert Zalewski-ZaragozaNPI 1720054133
Title
President
Phone
(619) 255-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A85005 CA Primary

Addresses

Primary practice location

1350 Columbia St Unit 800
San Diego, CA 92101-3456

Mailing address

1350 Columbia St Unit 800
San Diego, CA 92101-3456
Phone (619) 255-1652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140822001650 CA Part B Supplier - Clinic/Group Practice 6507084191 Receives reassigned benefits from 13 practitioners
Practice locations: Chula Vista, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

438 Camino del Rio S
Ste 210
San Diego, CA 92108
Phone (619) 255-1652

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1366857476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013456",
            "telephone_number": "619-255-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013456",
            "telephone_number": "619-255-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ZALEWSKI-ZARAGOZA, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "ZALEWSKI-ZARAGOZA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-255-1652",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A85005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.