NPIMap

Organization Active NPI

Ernesto Zavaleta, MD, PA

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1649268202
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ERNESTO ZAVALETA, MD, PA
Practice address
1099 Citrus Tower Blvd
South Lake Hospital
Clermont, FL 34711
Phone
(352) 241-9322
Fax
(352) 241-9107
NPI assigned
Oct 7, 2005
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Ernesto G Zavaleta, MDNPI 1982692554
Title
President
Phone
(352) 241-9322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1099 Citrus Tower Blvd
South Lake Hospital
Clermont, FL 34711

Mailing address

P.O. Box 783247
Winter Garden, FL 34778
Phone (352) 241-9322

Other identifiers 1

IdentifierTypeStateIssuer
273604700MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1649268202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 783247",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34778",
            "telephone_number": "352-241-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 CITRUS TOWER BLVD",
            "address_2": "SOUTH LAKE HOSPITAL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-241-9322",
            "fax_number": "352-241-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO ZAVALETA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "ZAVALETA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-241-9322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273604700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.