Organization Active NPI

Alexander Zuckerbraun PHD. MD

  • Primary Care Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1609085331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C21327 Issued in CA
Legal business name
ALEXANDER ZUCKERBRAUN PHD. MD
Practice address
801 E Chapel St
Santa Maria, CA 93454-4607
Phone
(805) 922-4541
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexander Zuckerbraun, PHD. MD
Title
Owner
Phone
(805) 922-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C21327 CA Primary

Addresses

Primary practice location

801 E Chapel St
Santa Maria, CA 93454-4607

Mailing address

801 E Chapel St
Santa Maria, CA 93454-4607
Phone (805) 922-4541

Other identifiers 1

IdentifierTypeStateIssuer
00C213270MedicaidCA

National Provider Directory

National Provider Directory

Locations

801 E Chapel St
Santa Maria, CA 93454
Phone (805) 332-4568

801 E Chapel St
Ste 4
Santa Maria, CA 93454
Phone (805) 922-4541

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609085331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544607",
            "telephone_number": "805-922-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544607",
            "telephone_number": "805-922-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER ZUCKERBRAUN PHD. MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUCKERBRAUN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-922-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD. MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C21327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C213270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.