Provider Demographics
NPI:1881676278
Name:ZACHARIAS, DON (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:ZACHARIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 O ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5224
Mailing Address - Country:US
Mailing Address - Phone:916-442-1011
Mailing Address - Fax:916-444-8661
Practice Address - Street 1:2000 O ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5224
Practice Address - Country:US
Practice Address - Phone:916-442-1011
Practice Address - Fax:916-444-8661
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG041968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G419680Medicaid
CA00G419680Medicaid
CAOOG419680Medicare PIN