Individual provider Active NPI

Jacqueline M Zayac, P.T.

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1568486991
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29877 Issued in CA
Practice address
800 S Claremont St Ste 106
San Mateo, CA 94402-1449
Phone
(650) 685-4800
NPI assigned
Jul 27, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29877 CA Primary

Addresses

Primary practice location

800 S Claremont St Ste 106
San Mateo, CA 94402-1449

Mailing address

200 Lowell Ave
San Bruno, CA 94066-4011
Phone (650) 685-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812001016 CA Practitioner - Physical Therapist in Private Practice 8022048792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M. Turner, Inc.Group PAC ID 1254471691, 4 clinicians

Practice addresses (Care Compare)

800 S Claremont St
Suite 106
San Mateo, CA 94402-1449
Phone (650) 224-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M. Turner, Inc. Physical Therapist CurrentSince Dec 6, 2009 Accepting new patients
Permanente Medical Group Inc CurrentSince Dec 3, 2012 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 3, 2012 Accepting new patients
Star Physical Therapy Physical Therapist PastSince Feb 1, 2016 Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

800 S Claremont St
Ste 106
San Mateo, CA 94402
Phone (650) 224-5660

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1568486991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOWELL AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664011",
            "telephone_number": "650-685-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CLAREMONT ST STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021449",
            "telephone_number": "650-685-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAC",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.