Individual provider Active NPI

Samuel Zuniga, ND

  • Naturopath
  • Laveen, AZ
National Provider Identifier
1023637618
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
20-1877 Issued in AZ
Practice address
10113 S 55TH Dr
Laveen, AZ 85339-3384
Phone
(205) 478-0415
NPI assigned
Apr 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 20-1877 AZ Primary

Addresses

Primary practice location

10113 S 55TH Dr
Laveen, AZ 85339-3384

Mailing address

10113 S 55TH Dr
Laveen, AZ 85339-3384
Phone (205) 478-0415

Other practice location 1

100 W Apache Trl Ste 10
Apache Junction, AZ 85120-3925
Phone (480) 845-1399

Other practice location 2

1750 S Price Rd Apt 165
Tempe, AZ 85281-6160
Phone (205) 478-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20-1877AZMDNaturopath

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1023637618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10113 S 55TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393384",
            "telephone_number": "205-478-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10113 S 55TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393384",
            "telephone_number": "205-478-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Apache Trl Ste 10",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203925",
            "country_code": "US",
            "telephone_number": "480-845-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 S Price Rd Apt 165",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852816160",
            "country_code": "US",
            "telephone_number": "205-478-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "20-1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.