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ZACHARY WILLIAM PATINKIN MD
NPI 1114581543
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since May 01, 2019PECOS Enrolled
9500 GILMAN DR # MC0965, LA JOLLA, CA 92093(858) 822-4434 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2022, May 1, 2019 (2 updates tracked since 2019).

About Zachary William Patinkin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY WILLIAM PATINKIN MD (NPI 1114581543) is an individual student in an organized health care education/training program in La Jolla, California, licensed in California (A179546) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114581543
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY WILLIAM PATINKINCredential: MD
Location Address9500 GILMAN DR # MC0965La Jolla, CA 92093-0001
Mailing Address9500 Gilman Dr # Mc0965La Jolla, CA 92093-5004 · (617) 671-5985
Phone(858) 822-4434
Sole ProprietorNo
Enumeration DateMay 1, 2019
Last NPPES UpdateJuly 4, 20222 updates tracked since enumeration
NPPES CertifiedJuly 4, 2022
✔ NPI 1114581543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · A179546
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 GILMAN DR # MC0965, La Jolla, CA 92093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary William Patinkin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Patinkin's NPI number?

The NPI number for Zachary Patinkin is 1114581543. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Zachary Patinkin located?

Zachary Patinkin practices at 9500 Gilman Dr # Mc0965, La Jolla, CA 92093. The listed phone number is (858) 822-4434.

What is Zachary Patinkin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Patinkin enrolled in Medicare?

Yes. Zachary Patinkin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Patinkin was last updated on July 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.