Active NPI
Alvin Zachariah, M.D.
- Internal Medicine Physician
- Stockton, CA
National Provider Identifier
1932178613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A64060
- Practice address
- 525 W Acacia St
Stockton, CA 95203-2405 - Phone
- (209) 613-1282
- Fax
- (650) 273-1706
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A64060 | CA | Primary |
Addresses
Primary practice location
525 W Acacia St
Stockton, CA 95203-2405
Mailing address
PO Box 280041
San Francisco, CA 94128-0041
Phone (209) 613-1282
Other names 1
- Mr. Alvin Zachariah
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64060 | CA | MD | Pharmacotherapy Pharmacist |
| A64060 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers, Inc | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
| Gold Country Emergency Physicians Medical Group Inc | Past | Accepting new patients | |
| Cogent Healthcare of California, PC | Internal Medicine | Past | Accepting new patients |
Locations
200 Cottage Ave
Ste 103
Manteca, CA 95336
Phone (209) 624-5800
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Hospitalist Physician
- Mountain View, CA
- NPI 1902279656
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Clinic/Center
- Manteca, CA
- NPI 1710211214
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1215956438
-
- Hospitalist Physician
- Turlock, CA
- NPI 1174825947
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1932178613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280041",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941280041",
"telephone_number": "209-613-1282",
"fax_number": "650-273-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W ACACIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032405",
"telephone_number": "209-613-1282",
"fax_number": "650-273-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIAH",
"first_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A64060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALVIN",
"last_name": "ZACHARIAH",
"prefix": "MR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.