Individual provider Active NPI

Lisa Joan Zacharewicz, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1609932045
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G079464 Issued in CA
Practice address
24 Willie Mays PLZ
San Francisco, CA 94107-2134
Phone
(415) 972-2249
Fax
(415) 947-3099
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G079464 CA Primary
Internal Medicine Physician 207R00000X MDR6H24 MO

Addresses

Primary practice location

24 Willie Mays PLZ
San Francisco, CA 94107-2134

Mailing address

24 Willie Mays PLZ
San Francisco, CA 94107-2134
Phone (415) 972-2249

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

LicenseStateTypeSpecialty
G079464CAMDInternal Medicine Physician
MDR6H24MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Medical Associates Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lzacharewicz433974@direct-ucsfmedicalcenter.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1609932045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WILLIE MAYS PLZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072134",
            "telephone_number": "415-972-2249",
            "fax_number": "415-947-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WILLIE MAYS PLZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072134",
            "telephone_number": "415-972-2249",
            "fax_number": "415-947-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAREWICZ",
        "first_name": "LISA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G079464",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MDR6H24",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.