Active NPI
Carlee Zaki
- Medical Physician Assistant
- Van Nuys, CA
National Provider Identifier
1649655663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 782-6600
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | CA | Primary |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
2751 Rinconia Dr
Los Angeles, CA 90068-2227
Other practice location 1
2751 Rinconia Dr
Los Angeles, CA 90068-2227
Phone (850) 582-4849
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2751 Rinconia Dr
Los Angeles, CA 90068-2227
4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- cettinger675259@nychhc.direct-ci.com
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.
-
- Hospitalist Physician
- Sherman Oaks, CA
- NPI 1902188022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1649655663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 RINCONIA DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900682227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-782-6600"
}
],
"practiceLocations": [
{
"address_1": "2751 Rinconia Dr",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900682227",
"country_code": "US",
"telephone_number": "850-582-4849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAKI",
"first_name": "CARLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.