Individual provider Active NPI

Jose Natividad Zamudio Jr., ASW, MSW, PPSC

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1346034568
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132219 Issued in CA
Practice address
2011 Fresno St
Fresno, CA 93721-1722
Phone
(559) 457-3927
NPI assigned
Apr 4, 2025
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132219 CA Primary
School Social Worker 1041S0200X 132219 CA

Addresses

Primary practice location

2011 Fresno St
Fresno, CA 93721-1722

Mailing address

2011 Fresno St
Fresno, CA 93721-1722
Phone (559) 672-0396

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

LicenseStateTypeSpecialty
132219CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Superintendent of Schools CurrentSince Oct 5, 2025 Accepting new patients
Fresno County Superintendent of Schools CurrentSince Oct 5, 2025 Accepting new patients

Locations

2560 W Shaw Ln
Ste 104
Fresno, CA 93711
Phone (559) 431-1086

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1346034568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211722",
            "telephone_number": "559-672-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211722",
            "telephone_number": "559-457-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "JOSE",
        "middle_name": "NATIVIDAD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ASW, MSW, PPSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-04",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132219",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "132219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.