1861584377 NPI number — KARL N ZEFF M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861584377 NPI number — KARL N ZEFF M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ZEFF

Provider First Name:

KARL

Provider Middle Name:

N

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1861584377

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

02/17/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

3400 DATA DR

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

RANCHO CORDOVA

Provider Business Mailing Address State Name:

CA

Provider Business Mailing Address Postal Code:

95670-7956

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

916-924-6400

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1792 TRIBUTE RD

Provider Second Line Business Practice Location Address:

SUITE 350

Provider Business Practice Location Address City Name:

SACRAMENTO

Provider Business Practice Location Address State Name:

CA

Provider Business Practice Location Address Postal Code:

95815-4305

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

916-924-6400

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

09/29/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2084P0804X , with the licence number:  G56995 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 00G569950 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
• Identifier: 2058276 . This is a "GREAT WEST" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: G56995 . This is a "BLUE CROSS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 000810801643 . This is a "PHCS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 90205067 . This is a "PACIFICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: MCMG476000 . This is a "WESTERN HEALTH ADVANTAGE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 131788 . This is a "HEALTH NET" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 5706800 . This is a "FIRST HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 1406920 . This is a "CIGNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 454791 . This is a "INTERPLAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 7939327 . This is a "AETNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".