Active NPI
Kathy Zhang Zelken, M.D.
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1588927248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A130648
- Practice address
- 505 S Main St
Suite 525
Orange, CA 92868-4509 - Phone
- (714) 456-5631
- Fax
- (714) 285-0389
- NPI assigned
- Jun 19, 2012
- Last updated
- May 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A130648 | CA | Primary |
Addresses
Primary practice location
505 S Main St
Suite 525
Orange, CA 92868-4509
Mailing address
601 Dover Dr Ste 7
Newport Beach, CA 92663-5721
Phone (949) 645-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A130648 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Pediatric Medical Group | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Newport Beach, CA
- NPI 1922015072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1588927248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 DOVER DR STE 7",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926635721",
"telephone_number": "949-645-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S MAIN ST",
"address_2": "SUITE 525",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684509",
"telephone_number": "714-456-5631",
"fax_number": "714-285-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELKEN",
"first_name": "KATHY",
"middle_name": "ZHANG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A130648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.