Provider Demographics
NPI:1871603928
Name:ZIELINSKY, RONALD T (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:T
Last Name:ZIELINSKY
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:
Mailing Address - Fax:
Practice Address - Street 1:6555 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0302
Practice Address - Country:US
Practice Address - Phone:916-536-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG87001207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4216660OtherAETNA
CA98261OtherINTERPLAN
CA850996OtherFIRST HEALTH
CA102612OtherHEALTH NET
CAG87001OtherBLUE CROSS
CAMCMG271600OtherWESTERN HEALTH AADVANTAGE
CA1442279OtherUNITED HEALTHCARE
CA2096269OtherCIGNA
CA90136451OtherPACIFICARE
CA1442279OtherUNITED HEALTHCARE
CA00G870010Medicare ID - Type Unspecified