Active NPI
Zakiat Darojat PA
- Internal Medicine Physician
- Rancho Santa Margarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A12141
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zakiat Nur-Darojat Jalilvand, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hospitalist Physician
- Rancho Santa Margarita, CA
- NPI 1548532658
Internal Medicine
-
- Interventional Pain Medicine Physician
- Rancho Santa Margarita, CA
- NPI 1306161963
Single Specialty
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.