Individual provider Active NPI

Todd Kenneth Zynda, D.O., F.A.C.C.

  • Cardiovascular Disease Physician
  • Long Beach, CA
National Provider Identifier
1669618393
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20A10401 Issued in CA
Practice address
1045 Atlantic Ave Ste 611
Long Beach, CA 90813
Phone
(562) 432-0111
Fax
(562) 276-0799
NPI assigned
Dec 30, 2008
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10401 CA
Cardiovascular Disease Physician 207RC0000X 20A10401 CA Primary
Interventional Cardiology Physician 207RI0011X 20A10401 CA

Addresses

Primary practice location

1045 Atlantic Ave Ste 611
Long Beach, CA 90813

Mailing address

PO Box 4980
Palos Verdes Peninsula, CA 90274-9648
Phone (562) 432-0111

Other practice location 1

16506 Lakewood Blvd
Bellflower, CA 90706-5164
Phone (562) 888-8921

Other identifiers 1

IdentifierTypeStateIssuer
20A10401OtherCACA MEDICAL LICENCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000078 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8224195086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1045 Atlantic Ave
Suite 611
Long Beach, CA 90813-3414
Phone (562) 432-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair16
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A10401CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd K. Zynda, DO Inc. Cardiovascular Disease CurrentSince May 18, 2016 Accepting new patients
UC Regents Current Accepting new patients
B&B Medical Group Inc PastSince Aug 1, 2021 Accepting new patients

Locations

1045 Atlantic Ave
Ste 611
Long Beach, CA 90813
Phone (562) 432-0111

3610 Atlantic Ave
Long Beach, CA 90807
Phone (562) 424-8814

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1669618393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749648",
            "telephone_number": "562-432-0111",
            "fax_number": "562-276-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 611",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-432-0111",
            "fax_number": "562-276-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16506 Lakewood Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065164",
            "country_code": "US",
            "telephone_number": "562-888-8921",
            "fax_number": "562-888-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYNDA",
        "first_name": "TODD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O., F.A.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10401",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A10401",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "20A10401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENCE",
            "identifier": "20A10401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.