Active NPI
Paul V Ziesmer, MD
- Emergency Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G52989
- Practice address
- 1100 West Stewart Drive
Orange, CA 92868-3849 - Phone
- (714) 633-9111
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G52989 | CA | Primary |
Addresses
Primary practice location
1100 West Stewart Drive
Orange, CA 92868-3849
Mailing address
PO Box 690
Long Beach, CA 90801-0690
Phone (562) 809-3547
Other practice location 1
2212 E 4th St Ste 201
Santa Ana, CA 92705-3872
Phone (714) 288-3230
Other practice location 2
2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 449-6230
Other practice location 3
2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G529890 | Medicaid | CA |
Other names 1
- Paul Vernon Ziesmer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | urgentcaresjohmg@sjhhandhmg.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Medical University of South Carolina College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52989 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Emergency Medicine Specialists of Orange County | Emergency Medicine | Past | Accepting new patients |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805
15855 Pomona Rincon Rd
Chino Hills, CA 91709
Phone (909) 264-8666
2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
2501 E Chapman Ave
Ste 101
Orange, CA 92869
Phone (714) 628-3300
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300
2212 E 4th St
Ste 201
Santa Ana, CA 92705
Phone (714) 288-3230
Organizations & group practices 6
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.
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- Emergency Medicine Physician
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dba Providence St. Joseph Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1649202714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908010690",
"telephone_number": "562-809-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WEST STEWART DRIVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683849",
"telephone_number": "714-633-9111"
}
],
"practiceLocations": [
{
"address_1": "2212 E 4th St Ste 201",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053872",
"country_code": "US",
"telephone_number": "714-288-3230",
"fax_number": "714-744-5294",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2251 N Harbor Blvd",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928352601",
"country_code": "US",
"telephone_number": "714-449-6230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 E Chapman Ave",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928693204",
"country_code": "US",
"telephone_number": "714-633-1011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIESMER",
"first_name": "PAUL",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G52989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G529890",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "urgentcaresjohmg@sjhhandhmg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "2501 E Chapman Ave",
"city": "Orange",
"state": "CA",
"country_code": "US",
"postal_code": "928693204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PAUL",
"last_name": "ZIESMER",
"middle_name": "VERNON",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.