Physician Compare National (NPI:1588825095)

HEALTHCARE PROVIDER: OWAIS AHMED ZAIDI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1588825095
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799837092
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090717000217
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAIDI
	Individual professional last name
Provider First Name	OWAIS
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1550 N PARK AVE
	Group Practice or individual's line 1 address
City	POMONA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917681834
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050099
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAN ANTONIO REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050382
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CITRUS VALLEY MEDICAL CENTER-IC CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050758
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MONTCLAIR HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050782
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CASA COLINA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050588
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SAN DIMAS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1588825095)

HEALTHCARE PROVIDER: OWAIS AHMED ZAIDI MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information