Individual provider Active NPI

Fengqing Zhu, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1952099764
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01231457 Issued in CA
Practice address
2185 Garnet Ave
San Diego, CA 92109-3603
Phone
(858) 270-9270
Fax
(858) 270-7168
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01231457 CA Primary

Addresses

Primary practice location

2185 Garnet Ave
San Diego, CA 92109-3603

Mailing address

6735 Lemon Leaf Dr
Carlsbad, CA 92011-3423
Phone (858) 381-7375

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010002866 CA Practitioner - Nurse Practitioner 0749635878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01231457CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paband Medical Corp CurrentSince Sep 1, 2023 Accepting new patients

Locations

8851 Center Dr
Ste 400
La Mesa, CA 91942
Phone (619) 462-2385

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19206/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1952099764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 LEMON LEAF DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113423",
            "telephone_number": "858-381-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093603",
            "telephone_number": "858-270-9270",
            "fax_number": "858-270-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHU",
        "first_name": "FENGQING",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F01231457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.