Active NPI
Adalbert Zamora
- Registered Nurse
- Redlands, CA
National Provider Identifier
1275285736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 610068
- Practice address
- 256 Cajon St Ste B
Redlands, CA 92373-5278 - Phone
- (909) 904-0829
- NPI assigned
- Jan 25, 2022
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 610068 | CA | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 610068 | CA | |
| Case Management Registered Nurse | 163WC0400X | 610068 | CA | |
| Home Health Registered Nurse | 163WH0200X | 610068 | CA | |
| Hospice Registered Nurse | 163WH1000X | 610068 | CA | |
| Infusion Therapy Registered Nurse | 163WI0500X | 610068 | CA | |
| Registered Nurse | 163W00000X | 610068 | CA | Primary |
Addresses
Primary practice location
256 Cajon St Ste B
Redlands, CA 92373-5278
Mailing address
256 Cajon St Ste B
Redlands, CA 92373-5278
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610068 | CA | MD | Infusion Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Health Care Provider, Inc. | Current | Accepting new patients | |
| Centennial Home Health, Inc. | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Redlands, CA
- NPI 1124600895
-
- Home Health Agency
- Upland, CA
- NPI 1447494448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1275285736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CAJON ST STE B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CAJON ST STE B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735278",
"telephone_number": "909-904-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "ADALBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "610068",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "610068",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "610068",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "610068",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "CA",
"license": "610068",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "CA",
"license": "610068",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "610068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.