Individual provider Active NPI

Antonio Zamorano, D.O.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1043482060
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A1063 Issued in CA
Practice address
1030 S Glendale Ave Ste 200
Glendale, CA 91205-2866
Phone
(818) 850-5667
Fax
(818) 839-2303
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 20A1063 CA
Adult Medicine Physician 207QA0505X 20A1063 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 20A1063 CA
Hospitalist Physician 208M00000X 20A1063 CA
Family Medicine Physician 207Q00000X 20A1063 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 200
Glendale, CA 91205-2866

Mailing address

1030 S Glendale Ave Ste 200
Glendale, CA 91205-2866
Phone (818) 850-5667

Other practice location 1

321 N Larchmont Blvd Ste 404
Los Angeles, CA 90004-6404
Phone (323) 461-9355

Other practice location 2

15115 Amar Rd
LA Puente, CA 91744-1914
Phone (626) 918-4700

Other identifiers 1

IdentifierTypeStateIssuer
1346557691MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000721 CA Practitioner - HospitalistPractitioner - Family Practice 3476748997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Springs Hospitalist Medical Group IncGroup PAC ID 6406199868, 26 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1030 S Glendale Ave
Suite 200
Glendale, CA 91205-2866
Phone (818) 850-5667

1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

15115 Amar Rd
La Puente, CA 91744-1914
Phone (626) 918-4700

Hospital & facility affiliations

  • Sunrise Home Health Care Home health agency, Burbank, CA, CCN 559500
  • Dedicated Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 559027
  • Primrose Home Health, Inc Home health agency, Burbank, CA, CCN 059106
  • Peace and Love Services Hospice, Burbank, CA, CCN A11689
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A1063CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Cedar Springs Hospitalist Medical Group, Inc. Hospitalist CurrentSince May 13, 2019 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians Inc CurrentSince Oct 11, 2021 Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Dignity Community Care Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1030 S Glendale Ave
Ste 200
Glendale, CA 91205
Phone (818) 241-5072

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

15115 Amar Rd
La Puente, CA 91744
Phone (626) 918-4700

321 N Larchmont Blvd
Ste 404
Los Angeles, CA 90004
Phone (323) 461-9355

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1043482060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-850-5667",
            "fax_number": "818-839-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-850-5667",
            "fax_number": "818-839-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Larchmont Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900046404",
            "country_code": "US",
            "telephone_number": "323-461-9355",
            "fax_number": "323-800-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15115 Amar Rd",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441914",
            "country_code": "US",
            "telephone_number": "626-918-4700",
            "fax_number": "626-918-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORANO",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "20A1063",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A1063",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A1063",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A1063",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A1063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346557691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.