Individual provider Active NPI

Zachary D Lott, MSN, ARNP, NP-BC

  • Acute Care Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1609374941
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95008486 Issued in CA
Practice address
26732 Crown Valley Pkwy Ste 371
Mission Viejo, CA 92691-6306
Phone
(800) 880-1895
Fax
(949) 844-5844
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95008486 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy Ste 371
Mission Viejo, CA 92691-6306

Mailing address

26732 Crown Valley Pkwy Ste 371
Mission Viejo, CA 92691-6306
Phone (800) 880-1895

Other practice location 1

2121 E Coast Hwy Ste 210
Corona Del Mar, CA 92625-1934
Phone (800) 880-1895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 15, 2024 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95008486CAMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: zacharylott@148787.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1609374941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 371",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "800-880-1895",
            "fax_number": "949-844-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 371",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "800-880-1895",
            "fax_number": "949-844-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Coast Hwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926251934",
            "country_code": "US",
            "telephone_number": "800-880-1895",
            "fax_number": "949-844-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "credential": "MSN, ARNP, NP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95008486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.