Individual provider Active NPI

Clyde W Zerba, D.C.

  • Chiropractor
  • Sierra Vista, AZ
National Provider Identifier
1770628331
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3299 Issued in AZ
Practice address
100 El Camino Real
Sierra Vista, AZ 85635-2808
Phone
(520) 458-3400
Fax
(520) 459-8058
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3299 AZ Primary

Addresses

Primary practice location

100 El Camino Real
Sierra Vista, AZ 85635-2808

Mailing address

100 El Camino Real
Sierra Vista, AZ 85635-2808
Phone (520) 458-3400

Other identifiers 1

IdentifierTypeStateIssuer
AZ0087130OtherAZBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000601 AZ Practitioner - Chiropractic 8325073265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aj Zerba Chiropractic, LLCGroup PAC ID 6103258900, 2 clinicians

Practice addresses (Care Compare)

100 El Camino Real
Sierra Vista, AZ 85635-2808
Phone (520) 458-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3299AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Zerba Chiropractic, LLC Chiropractor CurrentSince Oct 2, 2019 Accepting new patients
Bab Chiropractic, P.C. CurrentSince Jan 9, 2017 Accepting new patients

Locations

100 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 458-3400

8140 S Houghton Rd
Ste 130
Tucson, AZ 85747
Phone (520) 574-3600

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1770628331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EL CAMINO REAL",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352808",
            "telephone_number": "520-458-3400",
            "fax_number": "520-459-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EL CAMINO REAL",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352808",
            "telephone_number": "520-458-3400",
            "fax_number": "520-459-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERBA",
        "first_name": "CLYDE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0087130",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.