John Calvin Zambrano

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN091710 Issued in AZ

Practice address

11030 E Tarragon Ave
Mesa, AZ 85212-8233

Phone

(808) 428-6997

NPI assigned

Aug 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1114600368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 E TARRAGON AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 E TARRAGON AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128233",
            "telephone_number": "808-428-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "JOHN CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN091710",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN091710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Tyler Zajicek
• Jennifer Zak
• Caroline Zakrocki, COTA/L
• Marco Edgardo Zaldivar, RNFA
• Tauhida Zaman
• Adam K Zamora, AGNP-C
• Claudia Andrea Zamora
• Samantha Zamora
• Zancam LLC
• Kerry Zang, DPM

• All providers in Mesa, AZ
• Medical-Surgical Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.