Individual provider Active NPI

Gail Zemzicki Faso, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1629099668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
305157 Issued in CA
Practice address
1524 McHenry Ave Ste 315 Room 37
Modesto, CA 95350-4566
Phone
(209) 557-6200
Fax
(209) 557-6235
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 305157 CA Primary

Addresses

Primary practice location

1524 McHenry Ave Ste 315 Room 37
Modesto, CA 95350-4566

Mailing address

4424 Gold Nugget CT
Salida, CA 95368-9766
Phone (209) 543-7937

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
305157CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629099668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 GOLD NUGGET CT",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689766",
            "telephone_number": "209-543-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 315 ROOM 37",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504566",
            "telephone_number": "209-557-6200",
            "fax_number": "209-557-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASO",
        "first_name": "GAIL",
        "middle_name": "ZEMZICKI",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "305157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.