Provider Demographics
NPI:1215932090
Name:ZAPF, MICHAEL ANTHONY (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:ZAPF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:555 MARIN ST
Mailing Address - Street 2:STE 290
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4236
Mailing Address - Country:US
Mailing Address - Phone:805-497-6979
Mailing Address - Fax:818-777-7028
Practice Address - Street 1:555 MARIN ST
Practice Address - Street 2:STE 290
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4236
Practice Address - Country:US
Practice Address - Phone:805-497-6979
Practice Address - Fax:818-777-7028
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3322213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E33220Medicaid
CA000E33220Medicaid
CAWE3322AMedicare PIN
CAT19307Medicare UPIN