Tatiana M Zeballos, MD is a
Pediatrics - Obesity Medicine physician based in Palos Verdes Estates, California. Tatiana M Zeballos is licensed to practice in California (license number C164447) and her current practice location is 1408 Via Arco, Palos Verdes Estates, California. She can be reached at her office (for appointments etc.) via phone at
(202) 285-4550.
NPI number for Tatiana M Zeballos is 1053399162 and her current mailing address is 1408 Via Arco, Palos Verdes Estates, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053399162.
Physician's Profile
| Full Name | Tatiana M Zeballos |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics - Obesity Medicine |
|---|
| Location | 1408 Via Arco, Palos Verdes Estates, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053399162
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 07/16/2023
Medical Identifiers
Medical identifiers for Tatiana M Zeballos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053399162 | NPI | - | NPPES |
| C164447 | Other | CA | MEDICAL LICENSE |
| D0083136 | Other | MD | MEDICAL LICENSE |
| 25MA10057100 | Other | NJ | MEDICAL LICENSE |
| 019048000 | Medicaid | FL | |
| 78664 | Other | GA | MEDICAL LICENSE |
| C1-0011945 | Other | DE | MEDICAL LICENSE |
| MD425510 | Other | PA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD425510 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | ME127937 (Florida) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | C164447 (California) | Secondary |
| 2080B0002X | Pediatrics - Obesity Medicine | C164447 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tatiana M Zeballos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tatiana M Zeballos, MD
1408 Via Arco,
Palos Verdes Estates, CA 90274-2055
Ph: (202) 285-4550 | Tatiana M Zeballos, MD
1408 Via Arco,
Palos Verdes Estates, CA 90274-2055
Ph: (202) 285-4550 |
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