Active NPI
Mauricio Zamora, PHARMACY TECH
- Pharmacy Technician
- Los Angeles, CA
National Provider Identifier
1396865523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 45110
- Practice address
- 2105 S San Pedro St
Los Angeles, CA 90011-1125 - Phone
- (213) 749-4174
- Fax
- (213) 749-8818
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 45110 | CA | Primary |
Addresses
Primary practice location
2105 S San Pedro St
Los Angeles, CA 90011-1125
Mailing address
2105 S. San Pedro Street
Los Angeles, CA 90011
Phone (213) 749-4174
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45110 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Drug,Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Corona, CA
- NPI 1972598431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396865523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 S. SAN PEDRO STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90011",
"telephone_number": "213-749-4174",
"fax_number": "213-749-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 S SAN PEDRO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111125",
"telephone_number": "213-749-4174",
"fax_number": "213-749-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "MAURICIO",
"name_prefix": "Mr.",
"credential": "PHARMACY TECH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "45110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.