Provider Demographics
NPI:1770634420
Name:DRS. FRITZ-ZAVACKI & HAYS
Entity Type:Organization
Organization Name:DRS. FRITZ-ZAVACKI & HAYS
Other - Org Name:DR. SUSAN FRITZ-ZAVACKI & DR. BARBARA J. HAYS
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITZ-ZAVACKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-451-8001
Mailing Address - Street 1:5030 J ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3800
Mailing Address - Country:US
Mailing Address - Phone:916-451-8001
Mailing Address - Fax:916-451-4523
Practice Address - Street 1:5030 J ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3800
Practice Address - Country:US
Practice Address - Phone:916-451-8001
Practice Address - Fax:916-451-4523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0012490Medicaid
CA00G464630Medicaid
CA00A361020Medicaid
CA00G464630Medicaid
CAYYY49671YMedicare ID - Type UnspecifiedDRS. FRITZ-ZAVACKI & HAYS
CA00A361020Medicaid
CAA27987Medicare UPIN
CA00A361020Medicare ID - Type UnspecifiedDR. SUSAN FRITZ-ZAVACKI