Individual provider Active NPI

George G Zorn III, MD

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1851460448
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G31404 Issued in CA
Practice address
4060 Fourth Avenue
Suite 330
San Diego, CA 92103-2190
Phone
(619) 298-9931
Fax
(619) 298-3613
NPI assigned
Nov 7, 2006
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G31404 CA Primary

Addresses

Primary practice location

4060 Fourth Avenue
Suite 330
San Diego, CA 92103-2190

Mailing address

4060 Fourth Avenue
Suite 330
San Diego, CA 92103-2190
Phone (619) 298-9931

Other identifiers 1

IdentifierTypeStateIssuer
9815415MedicaidCA

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
I20110209000232 CA Practitioner - General SurgeryPractitioner - Endocrinology 9830168822 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G31404CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Dec 1, 2016 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Dec 1, 2016 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 13, 2010 Accepting new patients
Scripps Health Current Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

4060 4th Ave
Ste 330
San Diego, CA 92103
Phone (619) 291-2274

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gzorn21271@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1851460448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVENUE",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032190",
            "telephone_number": "619-298-9931",
            "fax_number": "619-298-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVENUE",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032190",
            "telephone_number": "619-298-9931",
            "fax_number": "619-298-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORN",
        "first_name": "GEORGE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G31404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9815415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.