Individual provider Active NPI

Zack Ojinaga, RCEP

  • Clinical Exercise Physiologist
  • Elk Grove, CA
National Provider Identifier
1659011518
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
1066004 Issued in CA
Practice address
10471 Grant Line Rd Ste 170
Elk Grove, CA 95624-5073
Phone
(916) 883-3366
NPI assigned
Mar 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193400000X SINGLE SPECIALTY GROUP 224Y00000X 1066004 CA Primary

Addresses

Primary practice location

10471 Grant Line Rd Ste 170
Elk Grove, CA 95624-5073

Mailing address

3408 Trio LN
Sacramento, CA 95817-2071
Phone (559) 920-0119

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

LicenseStateTypeSpecialty
1066004CAMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1659011518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 TRIO LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172071",
            "telephone_number": "559-920-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10471 GRANT LINE RD STE 170",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245073",
            "telephone_number": "916-883-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJINAGA",
        "first_name": "ZACK",
        "credential": "RCEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": "CA",
            "license": "1066004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.