Active NPI
Armando Jesus Zapata, CADC-II A018190315
- Addiction (Substance Use Disorder) Counselor
- San Bernardino, CA
National Provider Identifier
1659657344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A018190315
- Practice address
- 658 Brier St
San Bernardino, CA 92415-3934 - Phone
- (909) 252-5402
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | I9660610 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A018190315 | CA | Primary |
Addresses
Primary practice location
658 Brier St
San Bernardino, CA 92415-3934
Mailing address
11133 Daylilly St
Fontana, CA 92337-6829
Phone (190) 926-8275
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
| License | State | Type | Specialty |
|---|---|---|---|
| A018190315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| I9660610 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1659657344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11133 DAYLILLY ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923376829",
"telephone_number": "190-926-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 BRIER ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924153934",
"telephone_number": "909-252-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAPATA",
"first_name": "ARMANDO",
"middle_name": "JESUS",
"credential": "CADC-II A018190315",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "I9660610",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A018190315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.