Active NPI
German Zermeno, M.D.
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1932212131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A43064
- Practice address
- 720 N Tustin Ave Ste 104
Santa Ana, CA 92705-3606 - Phone
- (714) 565-1032
- Fax
- (714) 565-1035
- NPI assigned
- Aug 15, 2006
- Last updated
- Jan 12, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A43064 | CA | Primary |
Addresses
Primary practice location
720 N Tustin Ave Ste 104
Santa Ana, CA 92705-3606
Mailing address
720 N Tustin Ave Ste 104
Santa Ana, CA 92705-3606
Phone (714) 565-1032
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A430640 | Medicaid | CA | |
| 00A430640 | Other | CA | BLUE SHIELD |
| CW527Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43064 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1932212131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N TUSTIN AVE STE 104",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053606",
"telephone_number": "714-565-1032",
"fax_number": "714-565-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N TUSTIN AVE STE 104",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053606",
"telephone_number": "714-565-1032",
"fax_number": "714-565-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERMENO",
"first_name": "GERMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A43064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A430640",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A430640",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CW527Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.