Individual provider Active NPI

Robert Cory Zapotosky, PA-C

  • Physician Assistant
  • Glendora, CA
National Provider Identifier
1841648573
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
210 S Grand Ave
Glendora, CA 91741-4205
Phone
(626) 914-3675
NPI assigned
Jun 3, 2016
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

210 S Grand Ave
Glendora, CA 91741-4205

Mailing address

360 San Miguel Dr
Ste 501
Newport Beach, CA 92660-7831
Phone (949) 720-1170

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328001424 CA Practitioner - Physician Assistant 2062797384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

16465 Sierra Lakes Pkwy
Suite 275
Fontana, CA 92336-1263
Phone (909) 279-1010

1666 N Waterman Ave
San Bernardino, CA 92404-5113
Phone (909) 886-4965

2140 Grand Ave
Suite 260
Chino Hills, CA 91709-6806
Phone (909) 464-9800

255 Terracina Blvd
Suite 205C
Redlands, CA 92373-4870
Phone (909) 793-2323

9041 Magnolia Ave
Suite 206
Riverside, CA 92503-3956
Phone (951) 354-2220

930 E Foothill Blvd
Suite 1
Upland, CA 91786-4051
Phone (909) 608-7546

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Mudge MD Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1841648573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "STE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607831",
            "telephone_number": "949-720-1170",
            "fax_number": "949-720-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414205",
            "telephone_number": "626-914-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPOTOSKY",
        "first_name": "ROBERT",
        "middle_name": "CORY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.