1. Home
  2. Directory
  3. California
  4. Bakersfield
  5. Family Medicine
  6. NPI Profile

ZACOALCO MEDICAL GROUP INC
NPI 1679626170
Family Medicine in Bakersfield, CA

Active since January 19, 2007CLIA 05D0931655 · Waiver
5901 NILES ST, A, BAKERSFIELD, CA 93306(166) 136-3723 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2018, Jan 17, 2018 (2 updates tracked since 2018).

About Zacoalco Medical Group Inc NPPES

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

ZACOALCO MEDICAL GROUP INC (NPI 1679626170) is a healthcare organization registered as a family medicine in Bakersfield, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Saul De La Rosa, President, as its authorized official.

NPPES Registry Identity

NPI1679626170
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameZACOALCO MEDICAL GROUP INC
Location Address5901 NILES ST, ABakersfield, CA 93306-4780
Mailing Address5901 Niles St, ABakersfield, CA 93306-4780 · (166) 163-6723
Phone(166) 136-3723
Organization SubpartYes
Authorized OfficialSaul De La RosaPresident · (323) 588-1383
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMarch 9, 20182 updates tracked since enumeration
✔ NPI 1679626170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G75144
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
5901 NILES ST, Bakersfield, CA 93306
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0080241CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zacoalco Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Zacoalco Medical Group Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Raymond Menchaca, M.D.
Family Practice
NPI 1851339089
852 W VENTURA ST
Fillmore, CA 93015
(805) 524-2672
✔ PECOS68 mi
Ricardo Chambi, MD
Family Practice
NPI 1518905181
2623 E SLAUSON AVE
Huntington Park, CA 90255
(323) 585-2486
✔ PECOS✔ Accepts Medicare104 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0931655

Zacoalco Medical Group · Los Angeles, CA
Active · expires Jul 31, 2027
CLIA Number05D0931655
Laboratory TypeOther
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorRaymond Menchaca
Laboratory Phone(323) 588-1383
Laboratory LocationZacoalco Medical Group1414 E Florence Ave, Los Angeles, CA 90001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Zacoalco Medical Group Inc's NPI number?

The NPI number for Zacoalco Medical Group Inc is 1679626170. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Zacoalco Medical Group Inc located?

Zacoalco Medical Group Inc is located at 5901 Niles St A, Bakersfield, CA 93306. The listed phone number is (166) 136-3723.

What is Zacoalco Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Zacoalco Medical Group Inc enrolled in Medicare?

Yes. Zacoalco Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Zacoalco Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Zacoalco Medical Group Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Zacoalco Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0931655) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Zacoalco Medical Group Inc was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.