Active NPI
Marcus D Zachary, DO
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1396859229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A8112
- Practice address
- 900 Hyde St
San Francisco, CA 94109-4806 - Phone
- (415) 353-6817
- Fax
- (415) 353-6887
- NPI assigned
- Aug 18, 2006
- Last updated
- Oct 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A8112 | CA | Primary |
Addresses
Primary practice location
900 Hyde St
San Francisco, CA 94109-4806
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 377-5670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A81120 | Other | CA | SAN FRANCISCO BLUE SHIELD OF CALIFORNIA |
| 00AX81120 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8112 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Telemedicine Associates, P.C. | Current | Accepting new patients | |
| Inpatient Management Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of California, PC | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of California, PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
-
- Hospitalist Physician
- San Francisco, CA
- NPI 1205106937
-
- Family Medicine Physician
- Fresno, CA
- NPI 1073153250
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1215956438
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1366681074
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1093729915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1396859229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275064",
"telephone_number": "615-377-5670",
"fax_number": "615-377-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HYDE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094806",
"telephone_number": "415-353-6817",
"fax_number": "415-353-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARY",
"first_name": "MARCUS",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A8112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN FRANCISCO BLUE SHIELD OF CALIFORNIA",
"identifier": "020A81120",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX81120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.