Zacoalco Urgent Care Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G75144 Issued in CA

Legal business name

ZACOALCO URGENT CARE CENTER INC

Practice address

7313 Compton Ave
Los Angeles, CA 90001-2531

Phone

(323) 588-1383

Fax

(323) 588-2339

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Saul De la Rosa, PACNPI 1669554705

Title

President

Phone

(323) 588-1383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saul De la Rosa, PA PHYSICIAN ASSISTA

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1669554705
  Medicare reassignment Care Compare group Authorized official
• Raymond M Menchaca, M.D.

  • Family Medicine Physician
  • Fillmore, CA
  • NPI 1851339089
  Medicare reassignment Care Compare group NPD
• Ricardo E Chambi, MD

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1518905181
  Medicare reassignment NPD
• Ruth Paez, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Monterey Park, CA
  • NPI 1609104470
  Medicare reassignment
• Adrian Quiroz Rojas, PAC

  • Physician Assistant
  • Oxnard, CA
  • NPI 1902826910
  Medicare reassignment

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1669620563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012531",
            "telephone_number": "323-588-1383",
            "fax_number": "323-588-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012531",
            "telephone_number": "323-588-1383",
            "fax_number": "323-588-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACOALCO URGENT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-588-1383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Kathleen Dekker Zachary, MD
• Latiera Zachery
• Corinne Elizabeth Zachry
• Lacey Zack, M.D.
• Zacoalco Medical Group Inc
• Arash Zad-Behtooie
• Gabriel Zada, M.D.
• Sherehan Zada, MD
• Ray Zadegan, MD
• Zadeh Cardiology

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.