Zacoalco Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G75144 Issued in CA

Legal business name

ZACOALCO MEDICAL GROUP INC

Practice address

5901 Niles St
A
Bakersfield, CA 93306-4780

Phone

(166) 136-3723

NPI assigned

Jan 19, 2007

Organization subpart

Yes

Parent organization

ZACOALCO MEDICAL GROUP INCAs reported in NPPES

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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Zacoalco Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1750442836

  O20050606001247

  Same enrollment

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

CLIA laboratory certificates

Part of

Zacoalco Medical Group

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Zacoalco Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1750442836
  NPPES parent name

Practitioners 7

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
• Edgar Leonardo Farias

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1992468623
  Medicare reassignment Care Compare group
• Ruth Paez, PHYSICIAN ASSISTANT

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

  • Physician Assistant
  • Oxnard, CA
  • NPI 1902826910
  Medicare reassignment Care Compare group
• Ricardo E Chambi, MD

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1518905181
  Medicare reassignment NPD
• Cynthia Francisco, NP

  • Family Nurse Practitioner
  • Mountain View, CA
  • NPI 1376912535
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1679626170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NILES ST",
            "address_2": "A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064780",
            "telephone_number": "166-163-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NILES ST",
            "address_2": "A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064780",
            "telephone_number": "166-136-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACOALCO MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZACOALCO MEDICAL GROUP INC",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-03-09",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75144",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raiza Jenmari Morales Zabat
• Christopher Zacarias-Villa
• Flor J Zacarias
• Debra A Zachary Stronge, FNP
• Mary Zachary
• Zaghi Dental Group
• Zaghi Dental Professional Corporation
• David Zaghi, DDS
• Roohi Tabassum Zahid, FNP
• Idalberto Zaldivar Galves, MD

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, 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 Mar 9, 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.