Individual provider Active NPI

John David Zdral, MD

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1801993944
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G080899 Issued in CA
Practice address
301 W Bastanchury Rd
Ste #10
Fullerton, CA 92835
Phone
(714) 879-7372
Fax
(714) 879-4304
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G080899 CA Primary

Addresses

Primary practice location

301 W Bastanchury Rd
Ste #10
Fullerton, CA 92835

Mailing address

301 W Bastanchury Rd
Ste #10
Fullerton, CA 92835
Phone (714) 879-7372

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
I20040318001480 CA Practitioner - OphthalmologyPractitioner - Osteopathic Manipulative Medicine 7618867961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John D Zdral MD IncGroup PAC ID 3577684406, 3 clinicians

Practice addresses (Care Compare)

301 W Bastanchury Rd
Fullerton, CA 92835-3422
Phone (714) 879-7372

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score
89.04 of 100Reported as group
Quality
97.84
Improvement activities
40
Cost
66.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80899CAMDMental Health Counselor
G080899CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John D. Zdral, M.D., Inc. Ophthalmology CurrentSince Feb 16, 1999 Accepting new patients
John D. Zdral, M.D., Inc. Ophthalmology CurrentSince Dec 26, 2007 Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

301 W Bastanchury Rd
Ste 10
Fullerton, CA 92835
Phone (714) 879-7372

301 W Bastanchury Rd
Ste 1
Fullerton, CA 92835
Phone (714) 525-2251

19871 Yorba Linda Blvd
Ste 104
Yorba Linda, CA 92886
Phone (714) 777-3606

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jzdral@fei.intellechartdirect.net
  • Direct secure messaging: jzdral@fe2037.srs-direct.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.

Hospital & facility affiliations 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1801993944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "STE #10",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-879-7372",
            "fax_number": "714-879-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "STE #10",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-879-7372",
            "fax_number": "714-879-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDRAL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G080899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.