Individual provider Active NPI

Jalal Soltanian-Zadeh, DO

  • Family Medicine Physician
  • Ione, CA
National Provider Identifier
1962554196
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9130 Issued in CA
Practice address
4001 Highway 104
Ione, CA 95640
Phone
(209) 274-4911
NPI assigned
Jan 17, 2007
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9130 CA Primary

Addresses

Primary practice location

4001 Highway 104
Ione, CA 95640

Mailing address

PO Box 1210
Folsom, CA 95763-1210
Phone (805) 258-3963

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
I20070302000220 CA Practitioner - Family Practice 5395847701 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9130CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Family Medicine CurrentSince Aug 30, 2023 Accepting new patients
Glenl Xiong, Mdinc CurrentSince Dec 15, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 30, 2023 Accepting new patients
Wellspace Health PastSince Nov 9, 2021 Accepting new patients
Urgent Care Center of Folsom Family Medicine Past Accepting new patients
Eastern Medical Center Family Medicine Past Accepting new patients
Mdstat Urgent Care, Inc Past Accepting new patients
Eastern Medical Center Professional Medical Corporation Family Medicine Past Accepting new patients
Mdstat Urgent Care, Inc PastSince Apr 4, 2015 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2345 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 480-6715

500 Jessie Ave
Sacramento, CA 95838
Phone (916) 668-0683

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: jalal.soltanianzadeh.p1@direct.wellspacehealth.nextgenshare.com
  • Direct secure messaging: jsoltanianzadeh769610@direct.ochin.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1962554196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957631210",
            "telephone_number": "805-258-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 HIGHWAY 104",
            "city": "IONE",
            "state": "CA",
            "postal_code": "95640",
            "telephone_number": "209-274-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTANIAN-ZADEH",
        "first_name": "JALAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ione, CA

Sources for this page

Verify at the official NPI Registry.