Healthcare Provider Details

I. General information

NPI: 1891115457
Provider Name (Legal Business Name): MATTHEW ZAPF MD, MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 AMETHYST LN
RANCHO MIRAGE CA
92270-8014
US

IV. Provider business mailing address

18 AMETHYST LN
RANCHO MIRAGE CA
92270-8014
US

V. Phone/Fax

Practice location:
  • Phone: 850-630-1208
  • Fax:
Mailing address:
  • Phone: 850-630-1208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD2017-0466
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA129583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: