Zekhariah Inyasio Idro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52215 Issued in CA

Practice address

82013 Dr Carreon Blvd
Suite G
Indio, CA 92201-4832

Phone

(760) 775-9500

Fax

(760) 775-9500

NPI assigned

Aug 1, 2014

Last updated

Jan 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Skin Cancer SpecialistsGroup PAC ID 3678702206, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: advanceddermatologyandskin.zekhariahidro@127196.advancedmd-direct.com

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.

• Advanced Dermatology & Skin Cancer Specialists

  • Dermatology Physician
  • Temecula, CA
  • NPI 1881023927
  Medicare reassignment Care Compare group
• 24 Hour Urgent Care of the Desert

  • Urgent Care Clinic/Center
  • Indio, CA
  • NPI 1902245343
  NPD (past)
• Temecula Valley Family Physicians Inc.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1033323746
  NPD (past)
• Voxel Imaging Inc

  • Radiology Clinic/Center
  • Orange, CA
  • NPI 1568821072
  NPD (past)

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1922416023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD",
            "address_2": "SUITE G",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014832",
            "telephone_number": "760-775-9500",
            "fax_number": "760-775-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD",
            "address_2": "SUITE G",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014832",
            "telephone_number": "760-775-9500",
            "fax_number": "760-775-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRO",
        "first_name": "ZEKHARIAH",
        "middle_name": "INYASIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52215",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Hwang
• Linda T Hyman, LMFT
• Hyun Il Kim DDS Inc
• I M B Enterprises (Indio Medical Pharmacy)
• Nancy Jazmin Ibarra Rivas
• Indio Behavioral Hospital, LLC (Coachella Valley Behavioral Health)
• Indio Emergency Med Group Inc
• Indio Healthcare & Wellness Center, LLC (Desert Springs Healthcare & Wellness Center)
• Indio Nursing and Rehabilitation Center Inc.
• Indio Surgery Center

• Physician Assistant in Indio, CA
• Providers in Indio, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.