MEDICARE: RICHARD F ZIPF MD MEDICAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G11397	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180025520	OTHER		RAILROAD MEDICARE
5	ZZZ06498Z	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	958190000	OTHER		TRICARE
4	CGP128485	OTHER	CA	CCS - STATE
6	00G113970	OTHER	CA	BILLING ID#
7	1013063502	OTHER		NPI
8	195715900	OTHER		DEPT. OF LABOR

General Provider Information

NPI Number	:	1013063502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD F ZIPF MD MEDICAL CORP

Provider Business Mailing Address
First Line	:	4925 J STREET
Second Line	:
City	:	SACARAMENTO
State	:	CA
Zip	:	95819-3828
Country	:	US
Telephone Number	:	916-487-9198
Fax Number	:	916-481-1615

Provider Business Practice Location Address
First Line	:	4925 J STREET
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3828
Country	:	US
Telephone Number	:	916-487-9198
Fax Number	:	916-481-1615

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD FERDINAND ZIPF
Credential	:	MD
Telephone Number	:	916-487-9198

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	10/16/2008

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Directions to “RICHARD F ZIPF MD MEDICAL CORP ” Practice Location

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