Individual provider Active NPI

Don Zacharias, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1881676278
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G041968 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G419680MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804002134 HI Practitioner - Emergency Medicine 6002977485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89740CAMDAnesthesiology Physician
G041968CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jul 1, 2017 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jul 1, 2017 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.

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

Verify at the official NPI Registry.