Individual provider Active NPI

Jennifer C Zumarraga, M.D.

  • Child & Adolescent Psychiatry Physician
  • Los Altos, CA
National Provider Identifier
1518987601
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A83076 Issued in CA
Practice address
919 Fremont Ave
Ste 100
Los Altos, CA 94024-6024
Phone
(650) 988-3258
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A83076 CA Primary

Addresses

Primary practice location

919 Fremont Ave
Ste 100
Los Altos, CA 94024-6024

Mailing address

919 Fremont Ave
Ste 100
Los Altos, CA 94024-6024
Phone (650) 988-3258

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000649 CA Practitioner - Psychiatry 1658375308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83076CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Jan 26, 2025 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2490 Hospital Dr
Ste 205
Mountain View, CA 94040
Phone (650) 880-1088

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

Interoperability endpoints

  • Direct secure messaging: jzumarraga7983@icare.elcaminohospital.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1518987601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 FREMONT AVE",
            "address_2": "STE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246024",
            "telephone_number": "650-988-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FREMONT AVE",
            "address_2": "STE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246024",
            "telephone_number": "650-988-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMARRAGA",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A83076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.