Individual provider Active NPI

Adel Edward Zaki, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1679678718
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A24061 Issued in CA
Practice address
1233 N Vermont Ave
Suite 3
Los Angeles, CA 90029-1749
Phone
(323) 660-2090
Fax
(323) 953-9549
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A24061 CA Primary

Addresses

Primary practice location

1233 N Vermont Ave
Suite 3
Los Angeles, CA 90029-1749

Mailing address

1233 N Vermont Ave
Suite 3
Los Angeles, CA 90029-1749
Phone (323) 660-2090

Other identifiers 3

IdentifierTypeStateIssuer
00A240610MedicaidCA
00A240610OtherCABLUE SHIELD PROVIDER #
A24061OtherCAMEDICAL LICENSE #

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
I20091021000536 CA Practitioner - General Surgery 6901943166

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Organizations & group practices 4

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679678718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N VERMONT AVE",
            "address_2": "SUITE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291749",
            "telephone_number": "323-660-2090",
            "fax_number": "323-953-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N VERMONT AVE",
            "address_2": "SUITE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291749",
            "telephone_number": "323-660-2090",
            "fax_number": "323-953-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKI",
        "first_name": "ADEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A24061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A240610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "00A240610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "A24061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.