DR. ANTHONY A. MAZZARULLI MD
NPI 1801090006
Psychiatry & Neurology - Psychiatry in Modesto, CA

Q: What is Anthony Mazzarulli's NPI number?

The NPI number for Anthony Mazzarulli is 1801090006. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Anthony Mazzarulli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 12, 2007PECOS Enrolled

1601 CUMMINS DR STE D, MODESTO, CA 95358(510) 900-3125 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2022, Aug 26, 2021, Apr 2, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Anthony A. Mazzarulli Md NPPES

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

DR. ANTHONY A. MAZZARULLI MD (NPI 1801090006) is an individual psychiatry provider in Modesto, California, licensed in California (C147508) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801090006

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ANTHONY A. MAZZARULLICredential: MD

Location Address1601 CUMMINS DR STE DModesto, CA 95358-6411

Mailing Address1601 Cummins Dr Ste DModesto, CA 95358-6411 · (510) 900-3125

Phone(510) 900-3125

Sole ProprietorNo

Enumeration DateJune 12, 2007

Last NPPES UpdateJuly 20, 20225 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1801090006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · C147508✔ Licensed in TX · M6752✔ Licensed in NC · 2010-02091

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License C147508 (CA), 2010-02091 (NC), MD180163 (OR)

1601 CUMMINS DR STE D, Modesto, CA 95358

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Other Identifiers 5

OtherBP1-0026742Institutional Permit

Medicaid1801090006NC

Medicaid194605502TX

MedicaidNC1329SC

Medicaid5916730NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony A. Mazzarulli 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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Mazzarulli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Emergency Center, Inc.

1,775 mi

Psychiatric Hospital

1525 N 12TH ST
Milwaukee, WI 53205

Reassigned Medicare billing, Wisconsin enrollment
49 clinicians in this Medicare group

NPI 1255099941 (414) 339-9486

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 95358 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 10

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

MOHSEN VAZIRIAN M.D.

Psychiatry & Neurology (Psychiatry)