Active NPI
Zachary Calnan Fridirici
- Facial Plastic Surgery Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 156538
- Practice address
- 2233 Post St FL 3
San Francisco, CA 94115 - Phone
- (415) 476-4952
- Fax
- (415) 885-7546
- NPI assigned
- Mar 26, 2013
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 156538 | CA | Primary |
Addresses
Primary practice location
2233 Post St FL 3
San Francisco, CA 94115
Mailing address
2233 Post St FL 3
San Francisco, CA 94115-3470
Phone (415) 476-4952
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-1676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Delafield St
Suite 102
Waukesha, WI 53188-3402
Phone (262) 547-1614
Hospital & facility affiliations
- Waukesha Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156538 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Single Specialty | Current | Accepting new patients |
| Moreland Ear Nose & Throat Group LTD | Single Specialty | Current | Accepting new patients |
| University of California SFGH Medical Group | Single Specialty | Current | Accepting new patients |
| University of California SFGH Medical Group | Single Specialty | Current | Accepting new patients |
Locations
1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500
13900 W National Ave
Ste 100
New Berlin, WI 53151
Phone (262) 928-4500
1111 Delafield St
Ste 102
Waukesha, WI 53188
Phone (262) 547-1614
1111 Delafield St
Ste 100
Waukesha, WI 53188
Phone (262) 928-4300
Interoperability endpoints
- zfridirici120414@direct.phci.org
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.
-
- Otolaryngology Physician
- San Francisco, CA
- NPI 1154396208
Single Specialty
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
Single Specialty
-
- Oral & Maxillofacial Surgery (D.M.D.)
- San Francisco, CA
- NPI 1760790398
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1710229893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 POST ST FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153470",
"telephone_number": "415-476-4952",
"fax_number": "415-885-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 POST ST FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94115",
"telephone_number": "415-476-4952",
"fax_number": "415-885-7546"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-1676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIDIRICI",
"first_name": "ZACHARY",
"middle_name": "CALNAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "156538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.