Active NPI
Zenith Anesthesiology Pain, Inc
- Pain Medicine (Anesthesiology) Physician
- Stockton, CA
National Provider Identifier
1639840309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ZENITH ANESTHESIOLOGY PAIN, INC
- Practice address
- 4777 Grouse Run Dr Apt 124
Stockton, CA 95207-5373 - Phone
- (650) 492-0118
- NPI assigned
- Sep 22, 2021
- 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
- Zhiqiang Wang, MD
- Title
- President
- Phone
- (650) 492-0118
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
4777 Grouse Run Dr Apt 124
Stockton, CA 95207-5373
Mailing address
4777 Grouse Run Dr Apt 124
Stockton, CA 95207-5373
Phone (650) 492-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632268800000",
"number": "1639840309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 GROUSE RUN DR APT 124",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075373",
"telephone_number": "650-492-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 GROUSE RUN DR APT 124",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075373",
"telephone_number": "650-492-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZENITH ANESTHESIOLOGY PAIN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "ZHIQIANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-492-0118",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.