DR. PHILLIP CHARLES III ZINNI (DO) – Sports Medicine (Family Medicine) Physician, NPI 1366447385
Sports Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PHILLIP CHARLES III ZINNI (DO)
1344 DISC DR STE 272
SPARKS, NV 894360684
Phone: (209) 324-2255
Type: Mailing
9333 DOUBLE R BLVD STE 100
RENO, NV 895212962
Phone: (775) 636-8900
Type: Location
Ella Street, San Luis Obispo, San Luis Obispo County, California, 93401, United States
SUITE A
SAN LUIS OBISPO, CA 934014100
Phone: (805) 549-9555
Fax: (805) 549-0444
Type: Location
West Bunny Avenue, Santa Maria, Santa Barbara County, California, 93458, United States
SANTA MARIA, CA 934582805
Phone: (805) 549-9555
Fax: (805) 549-0444
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110921000111 | I | Physical Medicine And Rehabilitation | CA | TBD |
| I20221207002599 | I | Family Practice | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89436)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.