Individual provider Active NPI

Anne Zuzelski, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan Capistrano, CA
National Provider Identifier
1922264712
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A119497 Issued in CA
Practice address
31411 Camino Capistrano Ste 700
San Juan Capistrano, CA 92675-2676
Phone
(949) 388-8993
NPI assigned
Aug 1, 2008
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301092608 MI
Physical Medicine & Rehabilitation Physician 208100000X A119497 CA Primary

Addresses

Primary practice location

31411 Camino Capistrano Ste 700
San Juan Capistrano, CA 92675-2676

Mailing address

31411 Camino Capistrano Ste 700
San Juan Capistrano, CA 92675-2676
Phone (949) 388-8993

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
I20150409002701 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 6103052469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119497CAMDMarriage & Family Therapist
4301092608MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Medicine Inc Physical Medicine & Rehabilitation CurrentSince Sep 1, 2019 Accepting new patients
University of California Irvine Past Accepting new patients
Institute for Progressive Medicine- a Professional Medical Corporation PastSince Dec 1, 2015 Accepting new patients

Locations

3144 El Camino Real
Ste 204
Carlsbad, CA 92008
Phone (760) 729-0222

2741 Vista Way
Ste 201
Oceanside, CA 92054
Phone (460) 466-1554

12264 El Camino Real
Ste 101
San Diego, CA 92130
Phone (848) 847-0800

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1922264712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31411 CAMINO CAPISTRANO STE 700",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752676",
            "telephone_number": "949-388-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31411 CAMINO CAPISTRANO STE 700",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752676",
            "telephone_number": "949-388-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUZELSKI",
        "first_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301092608",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A119497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.