Active NPI
Abraham Fernando Munoz
- Specialist
- Placerville, CA
National Provider Identifier
1174815393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2844 Coloma St
Placerville, CA 95667-4406 - Phone
- (530) 642-1715
- Fax
- (530) 626-8992
- NPI assigned
- May 5, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2844 Coloma St
Placerville, CA 95667-4406
Mailing address
2858 Hickory LN
Placerville, CA 95667-4327
Phone (530) 417-0677
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1174815393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2858 HICKORY LN",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674327",
"telephone_number": "530-417-0677",
"fax_number": "530-621-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 COLOMA ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674406",
"telephone_number": "530-642-1715",
"fax_number": "530-626-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "ABRAHAM",
"middle_name": "FERNANDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
- Madeline Francis Moule, ASW
- Jaswant S Moyer, PHARM.D.
- Wendy Marie Mueller-Cunningham, PHD RD ETT
- Mukesh Mungalpara, M.D.
- Kimberly a Garcia Muniz
- Ilona Alexandra Munzer
- Michael Murphy, M.D.
- Tammy Theresa Murphy, LMFT, PPS
- Pamela Namenyi, FNP, PNP
- Nami El Dorado County Western Slope and South Lake Tahoe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.