NPIMap

Individual provider Active NPI

Michel Zakari, M.D.

  • Nephrology Physician
  • Glendale, CA
National Provider Identifier
1750361093
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A92507 Issued in CA
Practice address
1500 S Central Ave
Suite 300
Glendale, CA 91204-2530
Phone
(818) 242-0475
Fax
(818) 662-0260
NPI assigned
Jan 20, 2006
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A92507 CA Primary

Addresses

Primary practice location

1500 S Central Ave
Suite 300
Glendale, CA 91204-2530

Mailing address

1505 Wilson Ter
Ste 155
Glendale, CA 91206-4032
Phone (818) 500-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060114000114 CA Practitioner - NephrologyPractitioner - Internal Medicine 7214951441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Disease Medical Group IncGroup PAC ID 3173542198, 8 clinicians

Practice addresses (Care Compare)

1505 Wilson Ter
Suite 155
Glendale, CA 91206-4032
Phone (818) 500-4055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92507CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Inpatient Consultants of California, Inc. Past Accepting new patients

Locations

1500 S Central Ave
Ste 221
Glendale, CA 91204
Phone (818) 242-0475

1500 S Central Ave
Ste 300
Glendale, CA 91204
Phone (818) 242-0475

1505 Wilson Ter
Ste 155
Glendale, CA 91206
Phone (818) 500-4055

1540 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 337-8007

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15679/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michel.zakari.1@15679.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1750361093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "STE 155",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064032",
            "telephone_number": "818-500-4055",
            "fax_number": "818-500-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-242-0475",
            "fax_number": "818-662-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKARI",
        "first_name": "MICHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A92507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.