Provider Demographics
NPI:1427157536
Name:ZAIDI, SARFRAZ J (MD)
Entity type:Individual
Prefix:
First Name:SARFRAZ
Middle Name:J
Last Name:ZAIDI
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 1:6988 CALLE DIA
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8283
Mailing Address - Country:US
Mailing Address - Phone:805-495-7143
Mailing Address - Fax:805-495-7124
Practice Address - Street 1:1429 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362
Practice Address - Country:US
Practice Address - Phone:805-495-7143
Practice Address - Fax:805-495-7124
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45005207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A450050Medicaid
ZZZ05226ZOtherBLUE SHIELD
ZZZ05226ZOtherBLUE SHIELD
CA00A450050Medicaid