Organization Active NPI

ZMD of Ca PC

  • Family Medicine Physician
  • Tarzana, CA
National Provider Identifier
1871484659
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZMD OF CA PC
Doing business as
Zira Medical
Practice address
5567 Reseda Blvd Ste 345
Tarzana, CA 91356-2674
Phone
(509) 907-4306
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Mr. David Jason Van de Venter
Title
Owner
Phone
(509) 907-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5567 Reseda Blvd Ste 345
Tarzana, CA 91356-2674

Mailing address

2614 W 32ND CT
Kennewick, WA 99337-3055
Phone (509) 460-2651

Other names 1

  • Zira Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, NJ, CO, MI, MD6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20260311001709 TX Part B Supplier - Clinic/Group Practice 2163904780 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20260331000192 PA Part B Supplier - Clinic/Group Practice 2163904780 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA
O20260407002329 NJ Part B Supplier - Clinic/Group Practice 2163904780 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ
O20260409001904 CO Part B Supplier - Clinic/Group Practice 2163904780 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood Village, CO
O20260415002621 MI Part B Supplier - Clinic/Group Practice 2163904780 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI
O20260421001739 MD Part B Supplier - Clinic/Group Practice 2163904780 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

2345 E Thomas Rd
Ste 100373
Phoenix, AZ 85016
Phone (509) 215-4637

5567 Reseda Blvd
Ste 345
Tarzana, CA 91356
Phone (509) 907-4306

3060 Mercer University Dr
Ste 110
Atlanta, GA 30341
Phone (404) 482-0765

1690 Watertower Pl
Ste 100323
East Lansing, MI 48823

3909 S Maryland Pkwy
Ste 314188
Las Vegas, NV 89119
Phone (888) 947-2633

3202 McKnight East Dr
Ste 177
Pittsburgh, PA 15237
Phone (800) 947-2633

12715 Woodforest Blvd
Ste 1899
Houston, TX 77015
Phone (888) 342-4346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1871484659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 W 32ND CT",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373055",
            "telephone_number": "509-460-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 345",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562674",
            "telephone_number": "509-907-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZMD OF CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "VAN DE VENTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-907-4306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zira Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.