Individual provider Active NPI

McKenna Zarrell, PA-C

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1760200547
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65154 Issued in CA
Practice address
1375 Blossom Hill Rd Ste 49
San Jose, CA 95118-3806
Phone
(408) 645-7073
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65154 CA Primary

Addresses

Primary practice location

1375 Blossom Hill Rd Ste 49
San Jose, CA 95118-3806

Mailing address

1038 E Brokaw Rd # 30
San Jose, CA 95131-2309
Phone (408) 703-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213003346 CA Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 2668908666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA65154CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Action Urgent Care Inc CurrentSince Jan 1, 2025 Accepting new patients
Golden State Urgent Care Providers a Medical Corporation PastSince Sep 22, 2017 Accepting new patients

Locations

1375 Blossom Hill Rd
Ste 49
San Jose, CA 95118
Phone (408) 440-8335

1038 E Brokaw Rd
#30
San Jose, CA 95131
Phone (512) 784-6767

1038 E Brokaw Rd
Ste 30
San Jose, CA 95131
Phone (408) 416-5371

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1760200547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E BROKAW RD # 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312309",
            "telephone_number": "408-703-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 BLOSSOM HILL RD STE 49",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183806",
            "telephone_number": "408-645-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRELL",
        "first_name": "MCKENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.