Active NPI
Kathleen J Dennis-Zarate MD a Medical Corp
- Ophthalmology Physician
- Glendale, CA
National Provider Identifier
1811076342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G81715
- Legal business name
- KATHLEEN J DENNIS-ZARATE MD A MEDICAL CORP
- Practice address
- 222 W Eulalia St
Suite 110
Glendale, CA 91204-2849 - Phone
- (818) 551-7127
- Fax
- (818) 551-7131
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jenny Ramirez, M.D.
- Title
- Office Manager
- Phone
- (818) 551-7127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G81715 | CA | Primary |
Addresses
Primary practice location
222 W Eulalia St
Suite 110
Glendale, CA 91204-2849
Mailing address
222 W Eulalia St
Suite 110
Glendale, CA 91204-2849
Phone (818) 551-7127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0095000 | Medicaid | CA | |
| 1811076342 | Medicaid | CA |
Other names 1
- Kathleen J Dennis-Zarate MD INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2092585 | Kathleen J Dennis-Zarate, MD a Medical Corp Inc | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Kathleen Dennis-Zarate MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Montrose, CA
- NPI 1689730012
Locations
2330 Honolulu Ave
Montrose, CA 91020
Phone (818) 249-6447
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1760450399
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1306814371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357171200000",
"number": "1811076342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W EULALIA ST",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042849",
"telephone_number": "818-551-7127",
"fax_number": "818-551-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W EULALIA ST",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042849",
"telephone_number": "818-551-7127",
"fax_number": "818-551-7131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN J DENNIS-ZARATE MD A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2013-01-03",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "818-551-7127",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G81715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0095000",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811076342",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kathleen J Dennis-Zarate MD INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.