Individual provider Active NPI

Stephanie Flores Zamudio, AMFT 131969

  • Marriage & Family Therapist
  • Salinas, CA
National Provider Identifier
1033691787
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131969 Issued in CA
Practice address
1300 Tuscany Blvd
Salinas, CA 93905-2292
Phone
(831) 770-6000
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 131969 CA Primary

Addresses

Primary practice location

1300 Tuscany Blvd
Salinas, CA 93905-2292

Mailing address

627 Terrace St
Salinas, CA 93905-2118
Phone (831) 269-6898

Other practice location 1

411 E Lake Ave
Watsonville, CA 95076-4424
Phone (831) 728-6445

Other practice location 2

124 River Rd
Salinas, CA 93908-9601
Phone (831) 455-9965

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
131969CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pajaro Valley Prevention and Student Assistance CurrentSince Jun 1, 2023 Accepting new patients

Locations

411 E Lake Ave
Watsonville, CA 95076
Phone (831) 724-7778

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1033691787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 TERRACE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052118",
            "telephone_number": "831-269-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 TUSCANY BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052292",
            "telephone_number": "831-770-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950764424",
            "country_code": "US",
            "telephone_number": "831-728-6445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 River Rd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939089601",
            "country_code": "US",
            "telephone_number": "831-455-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "STEPHANIE",
        "middle_name": "FLORES",
        "credential": "AMFT 131969",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.