Active NPI
Matthew M Zahn, MD
- Pediatric Infectious Diseases Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- C55094
- Practice address
- 1719 W 17TH St
Santa Ana, CA 92706-2316 - Phone
- (714) 834-8180
- Fax
- (714) 834-8196
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | C55094 | CA | Primary |
Addresses
Primary practice location
1719 W 17TH St
Santa Ana, CA 92706-2316
Mailing address
1719 W 17TH St
Santa Ana, CA 92706-2316
Phone (714) 834-8180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200305040 | Medicaid | IN | |
| 64087281 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Saint Louis University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 W la Veta Ave
Orange, CA 92868-4203
Phone (888) 770-2462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55094 | CA | MD | Pharmacist |
| C55094 | CA | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital of Orange County | Pediatric Infectious Diseases | Current | Accepting new patients |
| Louisville-Jefferson County Metro Government | Past | Accepting new patients | |
| Louisville-Jefferson County Metro Government | Past | Accepting new patients | |
| University Pediatrics Infectious Diseases, LLC | Pediatric Infectious Diseases | Past | Accepting new patients |
Locations
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
dba CHOC Children's Specialists
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
Pediatric Infectious Diseases
-
dba Louisville MetroDepart of Public Health & Wellness - Jeff County Lab
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1245365246
-
dba Louisville Metro Depart of Public Health & Wellness - Dixie Health Cen
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1457486714
-
- Pediatric Infectious Diseases Physician
- Louisville, KY
- NPI 1255467239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1871577833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062316",
"telephone_number": "714-834-8180",
"fax_number": "714-834-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062316",
"telephone_number": "714-834-8180",
"fax_number": "714-834-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHN",
"first_name": "MATTHEW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CA",
"license": "C55094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200305040",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64087281",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.