Active NPI
Lance Clair Zimmerman, DPM
- Podiatrist
- Sacramento, CA
National Provider Identifier
1295775203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2435
- Practice address
- 1870 Avondale Ave Ste 1
Sacramento, CA 95825-1388 - Phone
- (916) 978-7950
- Fax
- (916) 978-9506
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2435 | CA | Primary |
Addresses
Primary practice location
1870 Avondale Ave Ste 1
Sacramento, CA 95825-1388
Mailing address
1870 Avondale Ave Ste 1
Sacramento, CA 95825-1388
Phone (916) 978-7950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2435 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1295775203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 AVONDALE AVE STE 1",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251388",
"telephone_number": "916-978-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 AVONDALE AVE STE 1",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251388",
"telephone_number": "916-978-7950",
"fax_number": "916-978-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "LANCE",
"middle_name": "CLAIR",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.