Look up the most recent NPI and PECOS records

Susan C Zapalac

Emergency Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN ZAPALAC.

Based on the most recent information from CMS, provider Susan C Zapalac is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1316986102
Provider Type
Individual
Full Name
Zapalac, Susan C
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
6/6/2006
Last Updated
4/1/2010

Contact Information

Practice Location

Pueblo At Bath, Santa Barbara, CA 93105

(805) 682-7111

Unlisted Fax

Mailing Location

PO Box 10040, Westminster, CA 92685-0040

(800) 358-8179

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 20A7683 California

Provider Identifiers

ID	Description	Issuer
ID 00AX76830	Description Medicaid	Issuer Unlisted California

Susan C Zapalac

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mills, Steven

Wilson, Brett

Gerhardt, Nels James

Trosino, Lisa

Skrupky, Ryan A

Hood, Marissa Oriana

Salvucci, Angelo A

Vu, Christopher Son

Houston, Kyle Jacob

Kroes, Jeremy Scott