Organization Active NPI

Zakiat Darojat PA

  • Internal Medicine Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1578077400
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A12141 Issued in CA
Legal business name
ZAKIAT DAROJAT PA
Practice address
30212 Tomas Ste 180
Rancho Santa Margarita, CA 92688-2174
Phone
(949) 923-0608
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Zakiat Nur-Darojat Jalilvand, DONPI 1548532658
Title
President
Phone
(949) 923-0608

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A12141 CA Primary

Addresses

Primary practice location

30212 Tomas Ste 180
Rancho Santa Margarita, CA 92688-2174

Mailing address

32742 Coppercrest Dr
Trabuco Canyon, CA 92679-3373
Phone (949) 923-0608

Other practice location 1

18111 Brookhurst St
Fountain Valley, CA 92708-6728
Phone (714) 378-7000

Other practice location 2

2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2330

Other names 1

  • Rancho Santa Margarita Osteopathic and Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180129001382 CA Part B Supplier - Clinic/Group Practice 6002176757 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Bragg, CA

National Provider Directory

National Provider Directory

Locations

30212 Tomas
Ste 180
Rsm, CA 92688
Phone (949) 272-6687

Practitioners & affiliated clinicians

Practitioners 2

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": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1578077400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32742 COPPERCREST DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793373",
            "telephone_number": "949-923-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 180",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882174",
            "telephone_number": "949-923-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18111 Brookhurst St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086728",
            "country_code": "US",
            "telephone_number": "714-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2776 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062613",
            "country_code": "US",
            "telephone_number": "562-997-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZAKIAT DAROJAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JALILVAND",
        "authorized_official_first_name": "ZAKIAT",
        "authorized_official_middle_name": "NUR-DAROJAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-923-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Santa Margarita Osteopathic and Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.