Active NPI
Thomas J. Zembal, M.D.
- Pediatrics Physician
- Santa Rosa, CA
National Provider Identifier
1376658716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G35634
- Practice address
- 4702 Hoen Ave
Santa Rosa, CA 95405-7824 - Phone
- (707) 545-2255
- Fax
- (707) 545-0456
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G35634 | CA | Primary |
Addresses
Primary practice location
4702 Hoen Ave
Santa Rosa, CA 95405-7824
Mailing address
4702 Hoen Ave
Santa Rosa, CA 95405-7824
Phone (707) 545-2255
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: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35634 | CA | MD | Clinical Psychologist |
| G35634 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- tzembal61550@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1376658716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057824",
"telephone_number": "707-545-2255",
"fax_number": "707-545-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057824",
"telephone_number": "707-545-2255",
"fax_number": "707-545-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMBAL",
"first_name": "THOMAS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G35634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.