Individual provider Active NPI

Emmanuel A Zamora, PSY.D.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1366628836
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26879 Issued in CA
Practice address
4860 Y St Ste 1100
Sacramento, CA 95817-2307
Phone
(916) 734-6700
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 26879 CA
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 26879 CA
Health Psychologist 103TH0004X 26879 CA
Clinical Psychologist 103TC0700X 26879 CA Primary

Addresses

Primary practice location

4860 Y St Ste 1100
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 1100
Sacramento, CA 95817-2307
Phone (916) 734-7041

Other practice location 1

2221 Stockton Blvd Ste E
Sacramento, CA 95817-1418
Phone (916) 734-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170420001737 CA Practitioner - Clinical Psychologist 6709162035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1535 River Park Dr
Suite 1000
Sacramento, CA 95815-4601
Phone (916) 286-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26879CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Feb 24, 2021 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 22, 2019 Accepting new patients
City & County of San Francisco Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
City and County of San Francisco CurrentSince Mar 8, 2017 Accepting new patients
City & County of San Francisco CurrentSince Mar 8, 2017 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 22, 2019 Accepting new patients

Locations

1535 River Park Dr
Ste 1000
Sacramento, CA 95815
Phone (916) 286-1000

1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 1100
Sacramento, CA 95817
Phone (916) 734-6700

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1366628836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Stockton Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171418",
            "country_code": "US",
            "telephone_number": "916-734-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "EMMANUEL",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "26879",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26879",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "26879",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.