Provider Demographics
NPI:1467412304
Name:ZAGER, SCOTT A (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:ZAGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2241 WANKEL WAY
Mailing Address - Street 2:STE C
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0190
Mailing Address - Country:US
Mailing Address - Phone:805-983-0922
Mailing Address - Fax:805-351-8217
Practice Address - Street 1:2241 WANKEL WAY
Practice Address - Street 2:STE C
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0190
Practice Address - Country:US
Practice Address - Phone:805-983-0922
Practice Address - Fax:805-351-8217
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG65177207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G5177OtherBLUESHIELD
F12137Medicare UPIN
WG65177DMedicare PIN