Active NPI
Dorothy Ann Zamborsky, PA-C
- Medical Physician Assistant
- Roseville, CA
National Provider Identifier
1043305733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15077
- Practice address
- 851 Pleasant Grove Blvd Ste 110
Roseville, CA 95678-6176 - Phone
- (916) 773-9222
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA15077 | CA | Primary |
Addresses
Primary practice location
851 Pleasant Grove Blvd Ste 110
Roseville, CA 95678-6176
Mailing address
729 Sunrise Ave
Ste 602
Roseville, CA 95661-4542
Phone (916) 953-7571
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15077 | CA | MD | Occupational Therapist |
| PA15077 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdstat Urgent Care, Inc | Past | Accepting new patients | |
| Everest Medical Group Inc | Past | Accepting new patients | |
| Mdstat Urgent Care, Inc | Past | Accepting new patients |
Interoperability endpoints
- dorothy.zamborsky.p1@direct.apdss.nextgenshare.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Sacramento, CA
- NPI 1942504360
-
dba MD Stat Urgent Care
- Urgent Care Clinic/Center
- Roseville, CA
- NPI 1407229107
-
- Urgent Care Clinic/Center
- Sacramento, CA
- NPI 1922273390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1043305733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE",
"address_2": "STE 602",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614542",
"telephone_number": "916-953-7571",
"fax_number": "916-771-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 PLEASANT GROVE BLVD STE 110",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956786176",
"telephone_number": "916-773-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBORSKY",
"first_name": "DOROTHY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA15077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.