Individual provider Active NPI

Charlotte Zane, M.D.

  • Adult Medicine Physician
  • Riverside, CA
National Provider Identifier
1730379082
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G11176 Issued in CA
Practice address
4500 Riverwalk Parkway
Riverside, CA 92505-8247
Phone
(951) 785-2200
Fax
(951) 785-2263
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X G11176 CA Primary

Addresses

Primary practice location

4500 Riverwalk Parkway
Riverside, CA 92505-8247

Mailing address

4500 Riverwalk Parkway
Riverside, CA 92505-8247
Phone (951) 785-2200

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G11176CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Sierra University Student Health Services Past Accepting new patients
La Sierra University Health Clinic Past Accepting new patients

Organizations & group practices 2

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1730379082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 RIVERWALK PARKWAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058247",
            "telephone_number": "951-785-2200",
            "fax_number": "951-785-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RIVERWALK PARKWAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058247",
            "telephone_number": "951-785-2200",
            "fax_number": "951-785-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANE",
        "first_name": "CHARLOTTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G11176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.