Active NPI
Genesis Michel Zamora, MD
- Pediatrics Physician
- Colton, CA
National Provider Identifier
1235792714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A176498
- Practice address
- 308 N la Cadena Dr
Colton, CA 92324-2946 - Phone
- (909) 321-4700
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A176498 | CA | Primary |
Addresses
Primary practice location
308 N la Cadena Dr
Colton, CA 92324-2946
Mailing address
308 N la Cadena Dr
Colton, CA 92324-2946
Other practice location 1
11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4174
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176498 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1235792714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N LA CADENA DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923242946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N LA CADENA DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923242946",
"telephone_number": "909-321-4700"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-4174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAMORA",
"first_name": "GENESIS",
"middle_name": "MICHEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A176498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.