Individual provider Active NPI

Zaka Uddin Vera, M.D.

  • Cardiovascular Disease Physician
  • Sacramento, CA
National Provider Identifier
1669646170
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A25256 Issued in CA
Practice address
7215 55TH Street
Sacramento, CA 95823-2601
Phone
(916) 399-1100
Fax
(877) 860-2397
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X AFE25256 CA
Cardiovascular Disease Physician 207RC0000X A25256 CA Primary

Addresses

Primary practice location

7215 55TH Street
Sacramento, CA 95823-2601

Mailing address

200 Oceangate
Suite 100
Long Beach, CA 90802-4302
Phone (916) 399-1100

Other identifiers 3

IdentifierTypeStateIssuer
P01222618/ DS9933OtherCARAILROAD MEDICARE-CITRUS HEIGHTS, 55TH ST.
1669646170MedicaidCA
1669646170OtherCAMEDI-CAL

Other names 1

  • Zaka Uddin Vera Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AFE25256CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California Past Accepting new patients
Molina Healthcare of California Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1669646170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024302",
            "telephone_number": "916-399-1100",
            "fax_number": "877-860-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 55TH STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232601",
            "telephone_number": "916-399-1100",
            "fax_number": "877-860-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "ZAKA",
        "middle_name": "UDDIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "AFE25256",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A25256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-CITRUS HEIGHTS, 55TH ST.",
            "identifier": "P01222618/ DS9933",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669646170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1669646170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAKA",
            "last_name": "VERA",
            "middle_name": "UDDIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.