Individual provider Active NPI

Devin Stephen Zarkowsky, MD

  • Vascular Surgery Physician
  • Fallbrook, CA
National Provider Identifier
1689925844
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A142293 Issued in CA
Practice address
591 E Elder St Ste B
Fallbrook, CA 92028-5001
Phone
(858) 304-0117
Fax
(760) 389-9119
NPI assigned
Sep 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17291 NH
Surgery Physician 208600000X A142293 CA
Vascular Surgery Physician 2086S0129X DR.0062897 CO
Vascular Surgery Physician 2086S0129X A142293 CA Primary

Addresses

Primary practice location

591 E Elder St Ste B
Fallbrook, CA 92028-5001

Mailing address

PO Box 5000
PMB 54
Rancho Santa Fe, CA 92067-5000
Phone (858) 304-0117

Other practice location 1

8273 Top O the Morning Way
San Diego, CA 92127-5000
Phone (858) 304-0117

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
I20160721002694 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 8325297237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Albany Medical College of Union University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Heart IncGroup PAC ID 6709868623, 2 clinicians

Practice addresses (Care Compare)

2621 S Bristol St
Suite 108
Santa Ana, CA 92704-5718
Phone (714) 754-1684

591 E Elder St
Suite B
Fallbrook, CA 92028-5001
Phone (858) 304-0117

Merit-based Incentive Payment System (MIPS)

Final score
66.02 of 100Reported as group
Quality
30.62
Promoting interoperability
80
Improvement activities
40
Cost
72.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal22
Leg revascularization (restoring blood flow)22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17291NHMDSurgery Physician
A142293CAMDVascular Surgery Physician
DR.0062897COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Vascular & Surgery Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Entersurg PC Vascular Surgery CurrentSince Feb 1, 2024 Accepting new patients
Entersurg LLC Vascular Surgery Current Accepting new patients

Locations

11760 Central Ave
Ste 204
Chino, CA 91710
Phone (909) 632-1225

591 E Elder St
Ste B
Fallbrook, CA 92028
Phone (858) 304-0117

2621 S Bristol St
Ste 108
Santa Ana, CA 92704
Phone (714) 241-9070

40971 Winchester Rd
Temecula, CA 92591
Phone (858) 304-0117

Interoperability endpoints

  • Direct secure messaging: dzarkowsky728139@direct.memorialcare.org
  • Direct secure messaging: devin.zarkowsky.1@31118.direct.athenahealth.com

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1689925844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "address_2": "PMB 54",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920675000",
            "telephone_number": "858-304-0117",
            "fax_number": "760-389-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E ELDER ST STE B",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920285001",
            "telephone_number": "858-304-0117",
            "fax_number": "760-389-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8273 Top O the Morning Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921275000",
            "country_code": "US",
            "telephone_number": "858-304-0117",
            "fax_number": "760-389-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARKOWSKY",
        "first_name": "DEVIN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "17291",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A142293",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "DR.0062897",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A142293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.