Individual provider Active NPI

Christina Zamora, NP

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1386044345
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
527431 Issued in CA
Practice address
2700 Shoemake Ave
Modesto, CA 95358-9544
Phone
(209) 658-6648
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 527431 CA Primary

Addresses

Primary practice location

2700 Shoemake Ave
Modesto, CA 95358-9544

Mailing address

2700 Shoemake Ave
Modesto, CA 95358-9544
Phone (209) 658-6648

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000604 CA Practitioner - Nurse Practitioner 2769469998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Dec 1, 2021 Accepting new patients
County of Stanislaus CurrentSince Dec 1, 2021 Accepting new patients

Locations

1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085

Organizations & group practices 3

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1386044345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SHOEMAKE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589544",
            "telephone_number": "209-658-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SHOEMAKE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589544",
            "telephone_number": "209-658-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "527431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.