Organization Active NPI

Adel E. Zaki, M.D. a Professional Corporation

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1740385624
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A24061 Issued in CA
Legal business name
ADEL E. ZAKI, M.D. A PROFESSIONAL CORPORATION
Practice address
1233 N Vermont Ave
Suite 3
Los Angeles, CA 90029-1749
Phone
(323) 660-2090
Fax
(323) 953-9549
NPI assigned
Sep 14, 2006
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Adel Edward Zaki, M.D.NPI 1679678718
Title
President
Phone
(323) 660-2090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 2

IdentifierTypeStateIssuer
A24061OtherCAMEDICAL LICENSE NUMBER
00A240610MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1740385624",
    "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": {
        "organization_name": "ADEL E. ZAKI, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "ZAKI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-660-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A24061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A24061",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A240610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.