NPIMap

Organization Active NPI

Zocalo Medical Group Ca

  • Primary Care Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1881330918
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ZOCALO MEDICAL GROUP CA
Doing business as
Zocalo Medical Group CA
Practice address
214 E Walnut St
Santa Ana, CA 92701-5896
Phone
(213) 855-3465
Fax
(833) 871-4204
NPI assigned
May 11, 2022
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Mariza Hardin
Title
Administrator
Phone
(505) 280-5669

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

214 E Walnut St
Santa Ana, CA 92701-5896

Mailing address

214 E Walnut St
Santa Ana, CA 92701-5896
Phone (213) 855-3465

Other names 1

  • Zocalo Medical Group CA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260108002710 CA Part B Supplier - Clinic/Group Practice 9931692001 Receives reassigned benefits from 5 practitioners
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1701 S Figueroa St
Los Angeles, CA 90015
Phone (949) 478-4747

214 E Walnut St
Santa Ana, CA 92701
Phone (213) 855-3465

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1881330918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E WALNUT ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015896",
            "telephone_number": "213-855-3465",
            "fax_number": "833-871-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WALNUT ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015896",
            "telephone_number": "213-855-3465",
            "fax_number": "833-871-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOCALO MEDICAL GROUP CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "MARIZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-280-5669"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zocalo Medical Group CA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zocalo Medical Group CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 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.