Steven Vincent Zizzo, MD MPH CCFP DABOM OH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C162411 Issued in CA

Practice address

122 15TH St Unit 2149
Del Mar, CA 92014-8065

Phone

(904) 907-9011

NPI assigned

Feb 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kinli Health

  • Internal Medicine Physician
  • Del Mar, CA
  • NPI 1427874841
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1821854910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 15TH ST UNIT 2149",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920148065",
            "telephone_number": "904-907-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 15TH ST UNIT 2149",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920148065",
            "telephone_number": "904-907-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZO",
        "first_name": "STEVEN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD MPH CCFP DABOM OH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C162411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie L. Youngblood, MD
• John Philip Zack, M.D.
• Payam Zand, N.D.
• Zenergy Physical Therapy Inc
• Zenergy Physical Therapy, Inc

• Internal Medicine Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.