Active NPI
Zelikha Izmarai
- Mental Health Counselor
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 600 Nut Tree Rd Ste 310
Vacaville, CA 95687-4686 - Phone
- (707) 359-1820
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
600 Nut Tree Rd Ste 310
Vacaville, CA 95687-4686
Mailing address
3088 Fiji Island St
West Sacramento, CA 95691-5921
Other practice location 1
212 I St
Davis, CA 95616-4213
Phone (530) 601-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71740NTXMV | Medicaid | CA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 W a St
Dixon, CA 95620-3437
Phone (707) 635-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers, Inc | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients |
Locations
131 W A St
Ste 3
Dixon, CA 95620
Phone (707) 635-1600
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
600 Nut Tree Rd
Ste 310
Vacaville, CA 95687
Phone (707) 359-1800
Interoperability endpoints
- zelikha.izmarai.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Dixon, CA
- NPI 1699766519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1760965313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3088 FIJI ISLAND ST",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956915921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NUT TREE RD STE 310",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874686",
"telephone_number": "707-359-1820"
}
],
"practiceLocations": [
{
"address_1": "212 I St",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956164213",
"country_code": "US",
"telephone_number": "530-601-5959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IZMARAI",
"first_name": "ZELIKHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71740NTXMV",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.