Individual provider Active NPI

Joseph A Zammuto, DO

  • Family Medicine Physician
  • Woodside, CA
National Provider Identifier
1063570018
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4970 Issued in CA
Practice address
213 Crest Rd
Woodside, CA 94062-2310
Phone
(650) 996-8584
Fax
(800) 756-8714
NPI assigned
Dec 4, 2006
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A4970 CA Primary

Addresses

Primary practice location

213 Crest Rd
Woodside, CA 94062-2310

Mailing address

2120 Avy Ave # 7068
Menlo Park, CA 94025-6518
Phone (165) 099-6858

Other practice location 1

2287 Mowry Ave
Suite C
Fremont, CA 94538-1622
Phone (510) 793-2645

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
I20050728000765 CA Practitioner - Family Practice 1850329186 Practice locations: Woodside, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4970CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Zammuto Family Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1063570018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 AVY AVE # 7068",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256518",
            "telephone_number": "165-099-6858",
            "fax_number": "510-791-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CREST RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940622310",
            "telephone_number": "650-996-8584",
            "fax_number": "800-756-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2287 Mowry Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381622",
            "country_code": "US",
            "telephone_number": "510-793-2645",
            "fax_number": "510-791-6846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMMUTO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, CA

Sources for this page

Verify at the official NPI Registry.