Individual provider Active NPI

Perry Zong, MD

  • Radiation Oncology Physician
  • Palm Desert, CA
National Provider Identifier
1548729502
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A196739 Issued in CA
Practice address
74000 Country Club Dr Ste D
Palm Desert, CA 92260-1678
Phone
(760) 368-2000
Fax
(760) 368-2222
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A196739 CA Primary

Addresses

Primary practice location

74000 Country Club Dr Ste D
Palm Desert, CA 92260-1678

Mailing address

74000 Country Club Dr Ste D
Palm Desert, CA 92260-1678
Phone (760) 368-2000

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
I20240725003946 CA Practitioner - Radiation Oncology 9032440201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Chico Medical Group IncGroup PAC ID 2668807785, 10 clinicians

Practice addresses (Care Compare)

74000 Cnty Club Dr
Palm Desert, CA 92260-1685
Phone (760) 368-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Chico Medical Group, Inc Radiation Oncology CurrentSince May 20, 2024 Accepting new patients

Locations

9139 W Thunderbird Rd
Ste 220
Peoria, AZ 85381

1700 Esplanade
Chico, CA 95926
Phone (530) 691-5920

74000 Country Club Dr
Palm Desert, CA 92260
Phone (760) 340-6784

74000 Country Club Dr
Ste D
Palm Desert, CA 92260
Phone (760) 368-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1548729502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB DR STE D",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601678",
            "telephone_number": "760-368-2000",
            "fax_number": "760-368-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB DR STE D",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601678",
            "telephone_number": "760-368-2000",
            "fax_number": "760-368-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONG",
        "first_name": "PERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A196739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.