Organization Active NPI

Zen Care Physical Medicine, Inc.

  • Specialist
  • Irvine, CA
National Provider Identifier
1386086239
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G40805 Issued in CA
Legal business name
ZEN CARE PHYSICAL MEDICINE, INC.
Practice address
113 Waterworks Way
115
Irvine, CA 92618-3167
Phone
(949) 727-1772
NPI assigned
Jul 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Christine HaNPI 1346442761
Title
Office Manager
Phone
(626) 833-4329

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G40805 CA Primary

Addresses

Primary practice location

113 Waterworks Way
115
Irvine, CA 92618-3167

Mailing address

113 Waterworks Way
115
Irvine, CA 92618-3167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140926000494 CA Part B Supplier - Clinic/Group Practice 7315167392 Receives reassigned benefits from 3 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

113 Waterworks Way
Ste 115
Irvine, CA 92618
Phone (949) 727-1772

Practitioners & affiliated clinicians

Practitioners 4

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": "1374278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1386086239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-727-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN CARE PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-20",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-833-4329"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.