Individual provider Active NPI

Michael Paul Zoerb

  • Physician Assistant
  • Yucaipa, CA
National Provider Identifier
1508331497
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56067 Issued in CA
Practice address
33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone
(909) 797-8900
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56067 CA Primary

Addresses

Primary practice location

33494 Oak Glen Rd
Yucaipa, CA 92399-2057

Mailing address

9278 Stone Canyon Rd
Corona, CA 92883-7672
Phone (951) 858-8733

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190123001694 CA Practitioner - Physician Assistant 4284971664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1295 Hamner Ave
Suite C
Norco, CA 92860-3161
Phone (951) 272-6500

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 596-6349

27640 Eucalyptus Ave
Moreno Valley, CA 92555-4557
Phone (951) 243-2200

33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 797-8900

3480 La Sierra Ave
Suite B
Riverside, CA 92503-5204
Phone (951) 588-8901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Nov 17, 2018 Accepting new patients
Southern California Emergency Medicine CurrentSince Nov 17, 2018 Accepting new patients

Locations

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

301 W Redlands Blvd
Redlands, CA 92373
Phone (909) 335-1900

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1508331497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9278 STONE CANYON RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837672",
            "telephone_number": "951-858-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33494 OAK GLEN RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992057",
            "telephone_number": "909-797-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOERB",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.