Individual provider Active NPI

Marina Zanzarini, PA-C

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1649759895
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56398 Issued in CA
Practice address
309 E 2ND St
Pomona, CA 91766-1854
Phone
(909) 623-6116
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 56398 CA Primary

Addresses

Primary practice location

309 E 2ND St
Pomona, CA 91766-1854

Mailing address

309 E 2ND St
Pomona, CA 91766-1854
Phone (909) 623-6116

Other practice location 1

118 E 8th St
Claremont, CA 91711-3909
Phone (909) 607-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK, TX3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190826001834 CA Practitioner - Physician Assistant 0749518983 Reassigns benefits to 2 organizations
I20240201002100 OK Practitioner - Physician Assistant 0749518983 Reassigns benefits to 1 organization
I20240221000128 TX Practitioner - Physician Assistant 0749518983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western University of Health SciencesGroup PAC ID 0648208991, 50 clinicians

Practice addresses (Care Compare)

795 E 2ND St
Pomona, CA 91766-2007
Phone (909) 469-8673

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
68.78
Improvement activities
40
Cost
78.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56398CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Institute CurrentSince Feb 15, 2021 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Feb 8, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare CurrentSince Feb 15, 2021 Accepting new patients
Stigler Health and Wellness Center Inc CurrentSince Dec 10, 2023 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Feb 8, 2024 Accepting new patients
Western University of Health Sciences CurrentSince Sep 9, 2024 Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673

309 E 2nd St
Pomona, CA 91766
Phone (909) 469-5589

8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Interoperability endpoints

  • Direct secure messaging: marina.zanzarini.1@19329.direct.athenahealth.com

Organizations & group practices 8

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1649759895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-623-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-623-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917113909",
            "country_code": "US",
            "telephone_number": "909-607-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANZARINI",
        "first_name": "MARINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.