Provider Demographics
NPI:1861584377
Name:ZEFF, KARL N (MD)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:N
Last Name:ZEFF
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 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:916-924-6400
Mailing Address - Fax:
Practice Address - Street 1:1792 TRIBUTE RD
Practice Address - Street 2:SUITE 350
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4305
Practice Address - Country:US
Practice Address - Phone:916-924-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG569952084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G569950Medicaid
CA2058276OtherGREAT WEST
CAG56995OtherBLUE CROSS
CA000810801643OtherPHCS
CA90205067OtherPACIFICARE
CAMCMG476000OtherWESTERN HEALTH ADVANTAGE
CA131788OtherHEALTH NET
CA5706800OtherFIRST HEALTH
CA1406920OtherCIGNA
CA454791OtherINTERPLAN
CA7939327OtherAETNA
CAG56995OtherBLUE CROSS
CA7939327OtherAETNA