Individual provider Active NPI

Arthur Stanley Zimmermann, M.D.

  • Dermatology Physician
  • Upland, CA
National Provider Identifier
1447273040
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G339270 Issued in CA
Practice address
930 E Foothill Blvd
Suite 1
Upland, CA 91786-4051
Phone
(909) 946-7271
Fax
(909) 949-0831
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G339270 CA Primary

Addresses

Primary practice location

930 E Foothill Blvd
Suite 1
Upland, CA 91786-4051

Mailing address

930 E Foothill Blvd
Suite 1
Upland, CA 91786-4051
Phone (909) 946-7271

Other identifiers 1

IdentifierTypeStateIssuer
G339270OtherCACALIFORNIA LICENSE NUMBER

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 Medicine

State licenses

LicenseStateTypeSpecialty
G339270CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Zimmerman, MD, Inc PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447273040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864051",
            "telephone_number": "909-946-7271",
            "fax_number": "909-949-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864051",
            "telephone_number": "909-946-7271",
            "fax_number": "909-949-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "ARTHUR",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G339270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "G339270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.