Individual provider Active NPI

Zachary Edgar Brewer, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Modesto, CA
National Provider Identifier
1467741975
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A121994 Issued in CA
Practice address
1541 Florida Ave Ste 305
Modesto, CA 95350-4439
Phone
(209) 575-5833
Fax
(209) 575-5836
NPI assigned
Apr 5, 2011
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 16965 NV
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A121994 CA Primary

Addresses

Primary practice location

1541 Florida Ave Ste 305
Modesto, CA 95350-4439

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

3941 J St Ste 270
Sacramento, CA 95819-3633
Phone (916) 733-6850

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
I20190426000556 CA Practitioner - Cardiac Surgery 9234409665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1541 Florida Ave
Suite 305
Modesto, CA 95350-4439
Phone (209) 577-3388

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121994CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
16965NVMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Dec 15, 2023 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Feb 1, 2024 Accepting new patients
Saint Marys Medical Group Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 4, 2023 Accepting new patients
Sierra Medical Partnership Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 1, 2024 Accepting new patients
Sierra Medical Partnership CurrentSince Feb 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Dec 15, 2023 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
First Choice Physician Partners Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

1234 E North St
Ste 102
Manteca, CA 95336
Phone (209) 647-7280

1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101

1262 E North St
Manteca, CA 95336
Phone (209) 823-7646

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 305
Modesto, CA 95350
Phone (209) 575-5833

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680

3939 J St
Ste 330
Sacramento, CA 95819
Phone (916) 250-2596

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

1801 Colorado Ave
Ste 250
Turlock, CA 95382
Phone (209) 216-3500

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

645 N Arlington Ave
Ste 555
Reno, NV 89503
Phone (775) 770-7348

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: zachary.brewer.1@14035.direct.athenahealth.com
  • Direct secure messaging: zachary.brewer.1@21842.direct.athenahealth.com
  • Direct secure messaging: zbrewer435811@hisp.ehr.sutterhealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1467741975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 305",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504439",
            "telephone_number": "209-575-5833",
            "fax_number": "209-575-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3941 J St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193633",
            "country_code": "US",
            "telephone_number": "916-733-6850",
            "fax_number": "916-733-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ZACHARY",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "16965",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A121994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.