Active NPI
John William Zamora, PA-C
- Physician Assistant
- Fort Riley, KS
National Provider Identifier
1487262408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15892
- Practice address
- 650 Huebner Rd
Fort Riley, KS 66442-4030 - Phone
- (785) 239-7151
- NPI assigned
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61720 | CA | |
| Physician Assistant | 363A00000X | PA15892 | TX | Primary |
| Physician Assistant | 363A00000X | 85.009283 | IL | |
| Physician Assistant | 363A00000X | 29076 | NY |
Addresses
Primary practice location
650 Huebner Rd
Fort Riley, KS 66442-4030
Mailing address
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone (785) 239-7151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1395931128 | Other | MILITARY PROVIDER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | John.w.zamora2.mil@mail.mil |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61720 | CA | MD | Physician Assistant |
| 85.009283 | IL | MD | Physician Assistant |
| 29076 | NY | MD | Physician Assistant |
| PA15892 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Dermatopathology, 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.
-
- Dermatopathology Physician
- San Diego, CA
- NPI 1922312248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1487262408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424030",
"telephone_number": "785-239-7151",
"fax_number": "785-240-7438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424030",
"telephone_number": "785-239-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61720",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15892",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "85.009283",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "29076",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY PROVIDER",
"identifier": "1395931128",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "John.w.zamora2.mil@mail.mil",
"affiliation": "N",
"address_1": "Fort Campbell",
"city": "APO",
"state": "AA",
"country_code": "US",
"postal_code": "37042",
"country_name": "United States",
"address_type": "MIL"
}
],
"other_names": []
}
Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.