Fernando a Zamudio MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C26245 Issued in CA

Legal business name

FERNANDO A ZAMUDIO MD INC

Practice address

6655 Alvarado Rd
San Diego, CA 92120-5208

Phone

(760) 230-1353

Fax

(760) 230-6283

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Fernando Antonio Zamudio, MDNPI 1306842950

Title

President

Phone

(619) 583-0511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alvarado Cardiology Consultants Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando Antonio Zamudio, MD

  • Cardiovascular Disease Physician
  • San Diego, CA
  • NPI 1306842950
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1417286725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921922211",
            "telephone_number": "760-230-1353",
            "fax_number": "760-230-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "760-230-1353",
            "fax_number": "760-230-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO A ZAMUDIO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "ZAMUDIO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-583-0511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C26245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C262450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvarado Cardiology Consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Raymond-Steven Fernandez
• Regina Mae Fernandez
• Sofia Stephanie Fernandez
• Stephanie Fernandez
• Troy Fernandez
• Marcia M. Fernando, RDHAP
• Hrysso Kellas Fernbach, PSY. D.
• Joseph Fernicola
• Kaitlin Marie Fernlund, SFIDC
• Pamela Lynne Ferolie

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.