Jennifer Leigh Zweig, DO
Individual provider Active NPI Family Medicine Physician · Long Beach, CA
NPI 1891937017 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1891937017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A10211 (CA)
- Practice address
- 2683 Pacific Ave
Long Beach, CA 90806-2610 - Phone
- (562) 997-2350
- Fax
- (562) 989-1021
- NPI assigned
- Apr 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carlos G Otis Health Care Center Inc
Practice addresses (Care Compare)
185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601
PO Box
Suite 216
Townshend, VT 05353
PO Box
Suite 216
Townshend, VT 05353-0216
Hospital & facility affiliations
- Grace Cottage Hospital
- Grace Cottage Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100108000639 | CA | Practitioner - Family Practice | 8022159334 | Practice locations: Long Beach, CA |
| I20211004003263 | VT | Practitioner - Family Practice | 8022159334 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10211 | CA | MD | Family Medicine Physician |
| CA20A10211 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos G Otis Health Care Center Inc | Current |
Accepting new patients | |
| Carlos G. Otis Health Care Center Inc. | Current | Accepting new patients | |
| Carlos G Otis Health Care Center Inc | Current | Accepting new patients | |
| Joseph M Molina MD Professional Corporation-Southern California | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA20A10211 | CA | |
| Family Medicine Physician | 207Q00000X | 20A10211 | CA | Yes |
Addresses
Primary practice location
2683 Pacific Ave
Long Beach, CA 90806-2610
Mailing address
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JMMD EFF: 1/27/2014 | Medicaid | CA | |
| P01363656 | Other | CA | RAILROAD MEDICARE-DU4032 |
Other providers in Long Beach, CA
- Jose Lorenzo Zuniga
- Maria R. Zuniga
- Miguel Angel Zuniga
- Nancy Zuniga
- Steven Brian Zwart
- Todd Kenneth Zynda
All providers in Long Beach, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.