Active NPI
Zia a Dehqanzada MD Apc
- Surgical Critical Care Physician
- Roseville, CA
National Provider Identifier
1568865962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- A118745
- Legal business name
- ZIA A DEHQANZADA MD APC
- Practice address
- 2 Medical Plaza Dr
#275
Roseville, CA 95661-3043 - Phone
- (916) 797-7534
- NPI assigned
- Sep 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zia Ahmad Dehqanzada, M.D.
- Title
- President
- Phone
- (916) 932-4675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | A118745 | CA | Primary |
Addresses
Primary practice location
2 Medical Plaza Dr
#275
Roseville, CA 95661-3043
Mailing address
2 Medical Plaza Dr
#275
Roseville, CA 95661-3043
Phone (916) 797-7534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412035200000",
"number": "1568865962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL PLAZA DR",
"address_2": "#275",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613043",
"telephone_number": "916-797-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PLAZA DR",
"address_2": "#275",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613043",
"telephone_number": "916-797-7534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZIA A DEHQANZADA MD APC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A",
"authorized_official_last_name": "DEHQANZADA",
"authorized_official_first_name": "ZIA",
"authorized_official_middle_name": "AHMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-932-4675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A118745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.