Active NPI
Zizmor Medical Corporation
- Clinic/Center
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ZIZMOR MEDICAL CORPORATION
- Practice address
- 1935A Addison St Ste 200
Berkeley, CA 94704-1101 - Phone
- (341) 217-8411
- NPI assigned
- Jun 7, 2024
- Last updated
- Aug 13, 2026
- 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
- Dr. Michael Jeffrey Zizmor, MD
- Title
- Medical Director
- Phone
- (341) 222-3800
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Clinic/Center | 261Q00000X | NU | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU |
Addresses
Primary practice location
1935A Addison St Ste 200
Berkeley, CA 94704-1101
Mailing address
1935A Addison St Ste 200
Berkeley, CA 94704-1101
Phone (341) 217-8411
Other practice location 1
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone (341) 217-8411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
828 San Pablo Ave
Ste 115G
Albany, CA 94706
Phone (341) 217-8411
1935 Addison St
Ste 200
Berkeley, CA 94704
Phone (341) 217-8411
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1124395421
-
- Family Nurse Practitioner
- Chino, CA
- NPI 1194998575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1659113173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935A ADDISON ST STE 200",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041101",
"telephone_number": "341-217-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935A ADDISON ST STE 200",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041101",
"telephone_number": "341-217-8411"
}
],
"practiceLocations": [
{
"address_1": "1849 Sawtelle Blvd Ste 610",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900257013",
"country_code": "US",
"telephone_number": "341-217-8411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ZIZMOR MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-07",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "ZIZMOR",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "341-222-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.