Active NPI
Elias Zayer, PA-C
- Physician Assistant
- Rancho Cucamonga, CA
National Provider Identifier
1649903758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 61308
- Practice address
- 11398 Kenyon Way Ste J
Rancho Cucamonga, CA 91701-9229 - Phone
- (909) 727-3911
- NPI assigned
- Jul 6, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 61308 | CA | Primary |
Addresses
Primary practice location
11398 Kenyon Way Ste J
Rancho Cucamonga, CA 91701-9229
Mailing address
PO Box 2041
Rancho Cucamonga, CA 91729-2041
Phone (909) 418-4765
Other practice location 1
7552 Classico Pl
Rancho Cucamonga, CA 91739-9415
Phone (909) 418-4765
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61308 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lani City Medical Specialty | Current | Accepting new patients | |
| Lani City Medical | Current | Accepting new patients |
Locations
11398 Kenyon Way
Ste J
Rch Cucamonga, CA 91701
Phone (909) 527-0266
Interoperability endpoints
- elias.zayer.1@18340.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Rancho Cucamonga, CA
- NPI 1417454844
-
- Dermatology Physician
- Rancho Cucamonga, CA
- NPI 1609694371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1649903758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2041",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917292041",
"telephone_number": "909-418-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11398 KENYON WAY STE J",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917019229",
"telephone_number": "909-727-3911"
}
],
"practiceLocations": [
{
"address_1": "7552 Classico Pl",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917399415",
"country_code": "US",
"telephone_number": "909-418-4765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAYER",
"first_name": "ELIAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.