Individual provider Active NPI

George Zamora

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1467860734
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001047 Issued in CA
Practice address
1503 N Imperial Ave
Suite 203
El Centro, CA 92243-6301
Phone
(760) 339-2802
NPI assigned
Jul 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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 95001047 CA Primary

Addresses

Primary practice location

1503 N Imperial Ave
Suite 203
El Centro, CA 92243-6301

Mailing address

1600 S Imperial Ave
Suite 3
El Centro, CA 92243-4242
Phone (760) 339-2802

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
I20141119001781 CA Practitioner - Nurse Practitioner 5496977852 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher C Lai MD a Professional CorporationGroup PAC ID 7315850526, 2 clinicians

Practice addresses (Care Compare)

196 W Legion Rd
Brawley, CA 92227-7713
Phone (760) 344-9093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001047CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group Apc CurrentSince Oct 24, 2016 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2015 Accepting new patients
Imperial Valley Family Care Medical Group, Apc CurrentSince Oct 24, 2016 Accepting new patients
Christopher C Lai MD a Professional Corporation CurrentSince Jan 1, 2017 Accepting new patients
Chase Dennis Emergency Medical Group Inc CurrentSince Sep 3, 2014 Accepting new patients

Locations

196 W Legion Rd
Brawley, CA 92227
Phone (760) 344-9093

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGGBA/Endpoint/EJGGBA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1467860734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S IMPERIAL AVE",
            "address_2": "SUITE 3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242",
            "telephone_number": "760-339-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE",
            "address_2": "SUITE 203",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436301",
            "telephone_number": "760-339-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.