Individual provider Active NPI

Victoria Yakovlevna Zvonkina, M.D.

  • Specialist
  • San Francisco, CA
National Provider Identifier
1922208172
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A95195 Issued in CA
Practice address
1375 Sutter St Ste 216
San Francisco, CA 94109-5465
Phone
(866) 887-6673
Fax
(866) 442-7632
NPI assigned
Jul 24, 2007
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A95195 CA Primary

Addresses

Primary practice location

1375 Sutter St Ste 216
San Francisco, CA 94109-5465

Mailing address

1375 Sutter St Ste 216
San Francisco, CA 94109-5465
Phone (866) 887-6673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090121000610 CA Practitioner - NeurologyPractitioner - Other (Physician)Practitioner - Sleep Medicine 8123182052 Practice locations: San Francisco, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95195CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Pulmonary Past Accepting new patients
Qualium Corp. Past Accepting new patients
Qualium Corp Past Accepting new patients

Organizations & group practices 3

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1922208172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 SUTTER ST STE 216",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095465",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SUTTER ST STE 216",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095465",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVONKINA",
        "first_name": "VICTORIA",
        "middle_name": "YAKOVLEVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A95195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.