Active NPI
G Jack Zanchi, M.D.
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1689816357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A210020
- Practice address
- 620 S Main St
Santa Ana, CA 92701-5716 - Phone
- (714) 547-6486
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A210020 | CA | Primary |
Addresses
Primary practice location
620 S Main St
Santa Ana, CA 92701-5716
Mailing address
620 S Main St
Santa Ana, CA 92701-5716
Phone (714) 547-6486
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
| License | State | Type | Specialty |
|---|---|---|---|
| A210020 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1689816357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015716",
"telephone_number": "714-547-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015716",
"telephone_number": "714-547-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANCHI",
"first_name": "G",
"middle_name": "JACK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A210020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.