Active NPI
Don Zacharias, MD
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1881676278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G041968
- Practice address
- 2000 O St
Suite 210
Sacramento, CA 95814-5224 - Phone
- (916) 442-1011
- Fax
- (916) 444-8661
- NPI assigned
- Nov 19, 2005
- Last updated
- Dec 3, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G041968 | CA | Primary |
Addresses
Primary practice location
2000 O St
Suite 210
Sacramento, CA 95814-5224
Mailing address
2000 O St
Suite 210
Sacramento, CA 95814-5224
Phone (916) 442-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G419680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89740 | CA | MD | Anesthesiology Physician |
| G041968 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Regents of the University of Ca | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Hale Makua Health Services | Past | Accepting new patients |
Locations
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
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.
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- Clinic/Center
- Sacramento, CA
- NPI 1124008719
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Skilled Nursing Facility
- Kahului, HI
- NPI 1982604807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1881676278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 O ST",
"address_2": "SUITE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145224",
"telephone_number": "916-442-1011",
"fax_number": "916-444-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 O ST",
"address_2": "SUITE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145224",
"telephone_number": "916-442-1011",
"fax_number": "916-444-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIAS",
"first_name": "DON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G041968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G419680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.