Organization Active NPI

Zahn & Associates a Medical Corporation

  • Specialist
  • San Gabriel, CA
National Provider Identifier
1912059478
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G69510 Issued in CA
Legal business name
ZAHN & ASSOCIATES A MEDICAL CORPORATION
Practice address
1026 E Las Tunas Drive
San Gabriel, CA 91776-1633
Phone
(626) 287-7222
Fax
(626) 287-1991
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Chester D Zahn, MDNPI 1639146442
Title
Ceo
Phone
(626) 287-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G69510 CA Primary

Addresses

Primary practice location

1026 E Las Tunas Drive
San Gabriel, CA 91776-1633

Mailing address

1026 E Las Tunas Drive
San Gabriel, CA 91776-1633
Phone (626) 287-7222

Other identifiers 1

IdentifierTypeStateIssuer
05D0930021OtherCACLIA WAIVER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000644 CA Part B Supplier - Clinic/Group Practice 6204939168 Receives reassigned benefits from 1 practitioner
Practice locations: San Gabriel, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0930021Zahn & Associates Inc1026 East Las Tunas Drive, San Gabriel, CA 91776Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1912059478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761633",
            "telephone_number": "626-287-7222",
            "fax_number": "626-287-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761633",
            "telephone_number": "626-287-7222",
            "fax_number": "626-287-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHN & ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "ZAHN",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-287-7222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G69510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "05D0930021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.