Organization Active NPI

Jennifer Zeidberg, MD Inc

  • Obstetrics & Gynecology Physician
  • Monterey, CA
National Provider Identifier
1750684932
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A66499 Issued in CA
Legal business name
JENNIFER ZEIDBERG, MD INC
Practice address
172 El Dorado St
Monterey, CA 93940-3118
Phone
(831) 375-1501
NPI assigned
Dec 10, 2010
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Jennifer Zeidberg, MDNPI 1689695850
Title
President /Owner
Phone
(831) 375-1501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A66499 CA Primary

Addresses

Primary practice location

172 El Dorado St
Monterey, CA 93940-3118

Mailing address

172 El Dorado St
Monterey, CA 93940-3118
Phone (831) 375-1501

Other identifiers 1

IdentifierTypeStateIssuer
05D2031109OtherCACLIA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000887 CA Part B Supplier - Clinic/Group Practice 6002098860 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

243 El Dorado St
Ste 201
Monterey, CA 93940
Phone (831) 375-1501

Practitioners & affiliated clinicians

Practitioners 2

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": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1750684932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403118",
            "telephone_number": "831-375-1501",
            "fax_number": "831-375-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403118",
            "telephone_number": "831-375-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ZEIDBERG, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ZEIDBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "831-375-1501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A66499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D2031109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.