Individual provider Active NPI

Muhammad Zafar Uddin, M.D.

  • Psychiatry Physician
  • Roseville, CA
National Provider Identifier
1972709798
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A112945 Issued in CA
Practice address
3051 Jimmy Way
Roseville, CA 95747
Phone
(601) 622-6180
Fax
(601) 622-6180
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A112945 CA Primary

Addresses

Primary practice location

3051 Jimmy Way
Roseville, CA 95747

Mailing address

3051 Jimmy Way
Roseville, CA 95747
Phone (601) 622-6180

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
I20110817000742 CA Practitioner - Psychiatry 9830368356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M.Z.Uddin MD PCGroup PAC ID 8921277443, 2 clinicians

Practice addresses (Care Compare)

7700 Folsom Blvd
Sacramento, CA 95826-2608
Phone (601) 622-6180

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112945CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M.Z.Uddin MD PC Psychiatry CurrentSince Jul 11, 2011 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Dec 1, 2018 Accepting new patients

Locations

11600 Education St
Auburn, CA 95602
Phone (530) 889-0707

5716 Folsom Blvd
Sacramento, CA 95819
Phone (916) 333-4175

1333 Howe Ave
Ste 107
Sacramento, CA 95825
Phone (916) 333-4175

7700 Folsom Blvd
Sacramento, CA 95826
Phone (916) 386-3000

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1972709798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 JIMMY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "601-622-6180",
            "fax_number": "601-622-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 JIMMY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "601-622-6180",
            "fax_number": "601-622-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MUHAMMAD",
        "middle_name": "ZAFAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A112945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.