1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Radiology
  6. NPI Profile

DR. ETHAN ANTHONY ZACCAGNINO MD
NPI 1548846181
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since March 23, 2021PECOS Enrolled
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 301-6800(310) 267-2059 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2026, Jul 17, 2026, Mar 23, 2021 (3 updates tracked since 2021).

About Dr. Ethan Anthony Zaccagnino Md NPPES

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

DR. ETHAN ANTHONY ZACCAGNINO MD (NPI 1548846181) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A181344) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of California, San Francisco School Of Medicine (2021).

NPPES Registry Identity

NPI1548846181
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ETHAN ANTHONY ZACCAGNINOCredential: MD
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-7419
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5200
Phone(310) 301-6800
Fax(310) 267-2059
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1548846181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A181344
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
757 WESTWOOD PLZ, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 Stanyan StSan Francisco, CA 94117-1019 · Phone (415) 750-5942 · Fax (415) 750-5594

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Anthony Zaccagnino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587120225
PECOS Enrollment IDI20260801000153
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ethan Zaccagnino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucla Radiology Medical Group
Same address
Diagnostic Radiology
757 WESTWOOD PLZ
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 240 clinicians in this Medicare group
NPI 1881670248 (310) 825-9111
Martin Luther King Jr Community Medical Foundation
15 mi
Multi-Specialty
12021 WILMINGTON AVE., BLDG. 11 SUITE 1000
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 554 clinicians in this Medicare group
NPI 1356899777 (424) 529-6755

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
BRITTANY CHY MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8655

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 Ethan Zaccagnino's NPI number?

The NPI number for Ethan Zaccagnino is 1548846181. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Ethan Zaccagnino located?

Ethan Zaccagnino practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 301-6800.

What is Ethan Zaccagnino's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ethan Zaccagnino enrolled in Medicare?

Yes. Ethan Zaccagnino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ethan Zaccagnino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Zaccagnino reassigns Medicare benefits to 2 organizations: Ucla Radiology Medical Group (Los Angeles, CA) and Martin Luther King Jr Community Medical Foundation (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Zaccagnino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Zaccagnino was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.