Active NPI
Lidia Monterroso Zelaya
- Dentist
- Concord, CA
National Provider Identifier
1487382149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107669
- Practice address
- 1851 Sutter St
Concord, CA 94520-2559 - Phone
- (925) 827-2798
- NPI assigned
- Aug 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107669 | CA | Primary |
Addresses
Primary practice location
1851 Sutter St
Concord, CA 94520-2559
Mailing address
617 Bounty Dr
Bay Point, CA 94565-2953
Phone (925) 360-4898
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 |
|---|---|---|---|
| 107669 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1487382149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 BOUNTY DR",
"city": "BAY POINT",
"state": "CA",
"postal_code": "945652953",
"telephone_number": "925-360-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 SUTTER ST",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202559",
"telephone_number": "925-827-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERROSO ZELAYA",
"first_name": "LIDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.