Organization Active NPI

Paolo Zizzo DO Inc

  • Internal Medicine Physician
  • Carlsbad, CA
National Provider Identifier
1396750170
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6835 Issued in CA
Legal business name
PAOLO ZIZZO DO INC
Practice address
5055 Avenida Encinas
#100
Carlsbad, CA 92008-4375
Phone
(760) 448-4412
Fax
(760) 918-9006
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Paolo Vincent Zizzo, DONPI 1396750279
Title
President
Phone
(760) 448-4412

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A6835 CA Primary

Addresses

Primary practice location

5055 Avenida Encinas
#100
Carlsbad, CA 92008-4375

Mailing address

5055 Avenida Encinas
#100
Carlsbad, CA 92008-4375
Phone (760) 448-4412

Other identifiers 1

IdentifierTypeStateIssuer
1396750170OtherCANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122000783 CA Part B Supplier - Clinic/Group Practice 3971568650 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1396750170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 AVENIDA ENCINAS",
            "address_2": "#100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084375",
            "telephone_number": "760-448-4412",
            "fax_number": "760-918-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 AVENIDA ENCINAS",
            "address_2": "#100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084375",
            "telephone_number": "760-448-4412",
            "fax_number": "760-918-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLO ZIZZO DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "ZIZZO",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-448-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396750170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.