Active NPI
Joseph A Zammuto, DO
- Family Medicine Physician
- Woodside, CA
National Provider Identifier
1063570018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A4970
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4970 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.