Individual provider Active NPI

Paolo Vincent Zizzo, D.O.

  • Internal Medicine Physician
  • Carlsbad, CA
National Provider Identifier
1396750279
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6835 Issued in CA
Practice address
5055 Avenida Encinas
#100
Carlsbad, CA 92008-4375
Phone
(760) 448-4412
Fax
(760) 918-9006
NPI assigned
Jul 30, 2006
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6835 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 20A6835 CA

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000783 CA Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3476534108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care, Internal Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6835CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Group Past Accepting new patients
Hospice of the North Coast PastSince Jul 25, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1396750279",
    "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": {
        "last_name": "ZIZZO",
        "first_name": "PAOLO",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6835",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A6835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.