Individual provider Active NPI

Zachary Clifford Landman, M.D.

  • Interventional Pain Medicine Physician
  • Berkeley, CA
National Provider Identifier
1780947408
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A138740 Issued in CA
Practice address
2850 Telegraph Ave Ste 120
Berkeley, CA 94705-1159
Phone
(510) 204-8140
Fax
(510) 506-7721
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A138740 CA Primary

Addresses

Primary practice location

2850 Telegraph Ave Ste 120
Berkeley, CA 94705-1159

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (925) 756-3499

Other practice location 1

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 204-8140

Other identifiers 1

IdentifierTypeStateIssuer
A138740OtherCASTATE MEDICAL LICENSE

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
I20160209002272 CA Practitioner - Preventive MedicinePractitioner - Orthopedic Surgery 4789839499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3256

2850 Telegraph Ave
Berkeley, CA 94705-1159

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

5700 Telegraph Ave
Suite 100
Oakland, CA 94609-1710
Phone (510) 204-4060

5730 Telegraph Ave
Suite 117
Oakland, CA 94609-1710
Phone (415) 600-6400

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138740CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients

Locations

4053 Lone Tree Way
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 101
Antioch, CA 94531
Phone (925) 756-3400

2850 Telegraph Ave
Ste 110
Berkeley, CA 94705
Phone (510) 204-1870

2850 Telegraph Ave
Ste 120
Berkeley, CA 94705
Phone (510) 204-8140

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

795 El Camino Real
#1112
Palo Alto, CA 94301

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

Interoperability endpoints

  • Direct secure messaging: zlandman319126@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 5

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1780947408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "925-756-3499",
            "fax_number": "925-757-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE STE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051159",
            "telephone_number": "510-204-8140",
            "fax_number": "510-506-7721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20101 Lake Chabot Rd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465305",
            "country_code": "US",
            "telephone_number": "510-204-8140",
            "fax_number": "510-506-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDMAN",
        "first_name": "ZACHARY",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A138740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A138740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.