Active NPI
Natasha Marietta Jade Zamora, CNM
- Advanced Practice Midwife
- Indio, CA
National Provider Identifier
1417523374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236458
- Practice address
- 81719 Dr Carreon Blvd Ste C-1
Indio, CA 92201-5518 - Phone
- (760) 777-4067
- Fax
- (760) 777-4096
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 236458 | CA | Primary |
| Registered Nurse | 163W00000X | RN60968301 | WA | |
| Registered Nurse | 163W00000X | 95282852 | CA |
Addresses
Primary practice location
81719 Dr Carreon Blvd Ste C-1
Indio, CA 92201-5518
Mailing address
81719 Dr Carreon Blvd Ste C-1
Indio, CA 92201-5518
Phone (760) 777-4067
Other practice location 1
79440 Highway 111 Ste 105
LA Quinta, CA 92253-4500
Phone (760) 777-4067
Other practice location 2
47111 Monroe St
Indio, CA 92201-6799
Phone (760) 347-6191
Other names 1
- Natasha Nepomuceno
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
La Quinta, CA 92248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95282852 | CA | MD | Registered Nurse |
| RN60968301 | WA | MD | Registered Nurse |
| 236458 | CA | MD | Advanced Practice Midwife |
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.
-
- Obstetrics & Gynecology Physician
- La Quinta, CA
- NPI 1639449135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1417523374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81719 DR CARREON BLVD STE C-1",
"city": "INDIO",
"state": "CA",
"postal_code": "922015518",
"telephone_number": "760-777-4067",
"fax_number": "760-777-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81719 DR CARREON BLVD STE C-1",
"city": "INDIO",
"state": "CA",
"postal_code": "922015518",
"telephone_number": "760-777-4067",
"fax_number": "760-777-4096"
}
],
"practiceLocations": [
{
"address_1": "79440 Highway 111 Ste 105",
"address_purpose": "LOCATION",
"city": "LA Quinta",
"state": "CA",
"postal_code": "922534500",
"country_code": "US",
"telephone_number": "760-777-4067",
"fax_number": "760-777-4096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47111 Monroe St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922016799",
"country_code": "US",
"telephone_number": "760-347-6191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAMORA",
"first_name": "NATASHA",
"middle_name": "MARIETTA JADE",
"name_prefix": "Dr.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "236458",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60968301",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95282852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "NEPOMUCENO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.