Healthcare Provider Details

I. General information

NPI: 1295155497
Provider Name (Legal Business Name): RAJIVE ZACHARIAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2014
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26800 CROWN VALLEY PKWY STE 325
MISSION VIEJO CA
92691-7310
US

IV. Provider business mailing address

888 S KING ST
HONOLULU HI
96813-3009
US

V. Phone/Fax

Practice location:
  • Phone: 949-364-6000
  • Fax: 949-364-3213
Mailing address:
  • Phone: 808-522-4359
  • Fax: 808-522-4277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC186581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: