Teresa Zamary, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A11447 Issued in CA

Practice address

Kaiser Dermatology - Maple Building
910 Maple Street
Redwood City, CA 94063

Phone

(650) 299-2111

NPI assigned

Jun 30, 2009

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Teresa Ishak Former name

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

Specialty

Dermatology

Education

Western University of Health Sciences College of Dental Med, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Dermatology PCGroup PAC ID 0840629812, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.3 of 100Reported as individual

Quality

97.64

Promoting interoperability

92

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Agape Dermatology PC

  dba Z Dermatology & Skin Wellness Center

  • Dermatology Physician
  • Huntington Beach, CA
  • NPI 1073152112
  Medicare reassignment Care Compare group NPD Authorized official
• Pure Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1912246570
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment
• Integrated Dermatology of Santa Rosa, PC

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1508441247
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510

  Dermatology

  NPD
• Surgery Center of Pure

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1285247569
  NPD
• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417185216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 EVERETT AVE APT 1C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAISER DERMATOLOGY - MAPLE BUILDING",
            "address_2": "910 MAPLE STREET",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-299-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 Brooks Ave",
            "address_2": "Unit 2",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913089",
            "country_code": "US",
            "telephone_number": "714-879-9936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMARY",
        "first_name": "TERESA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A11447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "ISHAK",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mustafa Zahid, A.B.O.C
• Neophytos Costas Zambas, MD
• Jose Luis Zamora
• Angela Patricia Zapanta-Whiteside
• Zee Eyes Inc (Site for Sore Eyes)
• Andrew Zee, DDS

• Dermatology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.