ANDRAWIS MAJDI ZADA OD
NPI 1174265169
Student in an Organized Health Care Education/Training Program in Davis, CA

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrawis Majdi Zada Od NPPES

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

ANDRAWIS MAJDI ZADA OD (NPI 1174265169) is an individual student in an organized health care education/training program in Davis, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174265169
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRAWIS MAJDI ZADACredential: OD
Location Address353 2ND STDavis, CA 95616-4607
Mailing Address1144 Pebblewood WaySan Mateo, CA 94403-4914 · (650) 274-1709
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2022
NPPES CertifiedApril 10, 2022
NPI 1174265169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

353 2ND ST, Davis, CA 95616

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrawis Majdi Zada Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759766009
PECOS Enrollment IDI20220922001213
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
13 services13 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
353 2ND ST
DAVIS, CA 95616
Optometrist
353 2ND ST
DAVIS, CA 95616
Optometrist
353 2ND ST
DAVIS, CA 95616
Optometrist
353 2ND ST
DAVIS, CA 95616
Optometrist
353 2ND ST
DAVIS, CA 95616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174265169, enumerated as an "individual" on April 10, 2022.

The provider is located at 353 2ND ST DAVIS, CA 95616 and the phone number is (530) 758-2122.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.