Salomon Zamudio

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

290 Issued in OR

Practice address

1143 Liberty St NE
Salem, OR 97301-1047

Phone

(503) 588-5825

Fax

(503) 315-0722

NPI assigned

Oct 19, 2006

Last updated

Apr 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Salomon Zavala Zamudio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Human Services, Inc.

  dba Host

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1164123196
  NPD (past)
• Northwest Human Services, Inc.

  dba West Salem Clinic

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1871530758
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1326120536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011047",
            "telephone_number": "503-588-5825",
            "fax_number": "503-361-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011047",
            "telephone_number": "503-588-5825",
            "fax_number": "503-315-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "SALOMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALOMON",
            "last_name": "ZAMUDIO",
            "middle_name": "ZAVALA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clayton Allenjess Zacharias
• David Lee Zachary, DDS
• Sumra Zaidi
• Syed Muzamil Hussain Zaidi, M.B.B.S
• Ashton Zamarron
• Sandra Jayne Zapotichny Nettland, MS CCC-SLP
• Amy Melissa Zapp, CNM
• Michael Zaurov, PMHNP
• Alexis Jewel Zavala
• Jacqueline Rae Zebrowski

• Case Manager/Care Coordinator in Salem, OR
• Providers in Salem, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.