Zabihullah Shirzoi Wardak, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A 122644 Issued in CA

Practice address

1530 3Rd St Ste 101
Lincoln, CA 95648-2500

Phone

(916) 645-8302

NPI assigned

Oct 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Melodia Care Inc

  • Community Based Hospice Care Agency
  • Fremont, CA
  • NPI 1144878786

  W-2 Managing Employee

  CMS ownership

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.

• Mobin P Ghavami, M.D.

  • Internal Medicine Physician
  • Lodi, CA
  • NPI 1447239744
  Medicare reassignment
• Center for Cardiovascular Care a Medical Corporation

  • Interventional Cardiology Physician
  • San Jose, CA
  • NPI 1518977958
  NPD
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• Mobin Ghavami MD

  • Emergency Care Clinic/Center
  • Lodi, CA
  • NPI 1225600653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1811249790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 101",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482500",
            "telephone_number": "916-645-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 101",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482500",
            "telephone_number": "916-645-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDAK",
        "first_name": "ZABIHULLAH",
        "middle_name": "SHIRZOI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 122644",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A 122644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Tyler Wallis, DPT
• Walmart Inc.
• April L Ward, NP
• Garth Reed Ward, M.A., LEP, ABSNP
• Ali Watford, MS
• Jeffrey D Wayne, MD
• Kurt Kristopher Webb, D.C.
• Dena D Webster, RADT
• Anna Welle

• General Practice Physician in Lincoln, CA
• Providers in Lincoln, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.