Active NPI
Zerina Bangawan, FNP
- Family Nurse Practitioner
- Daly City, CA
National Provider Identifier
1508163213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16417
- Practice address
- 1498 Southgate Ave
Daly City, CA 94015-4015 - Phone
- (650) 755-4490
- NPI assigned
- Feb 15, 2011
- Last updated
- Feb 15, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16417 | CA | Primary |
Addresses
Primary practice location
1498 Southgate Ave
Daly City, CA 94015-4015
Mailing address
608 Alexis Cir
Daly City, CA 94014-1561
Phone (415) 657-2061
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 |
|---|---|---|---|
| 16417 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Mateo Dialysis Associates | Past | Accepting new patients | |
| West Coast Kidney | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Nephrology Physician
- Burlingame, CA
- NPI 1275604183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1508163213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 ALEXIS CIR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141561",
"telephone_number": "415-657-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1498 SOUTHGATE AVE",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154015",
"telephone_number": "650-755-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGAWAN",
"first_name": "ZERINA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "16417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.