Zachary Swanberg, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030824 Issued in CA

Practice address

1209 Woodrow Ave Ste B10
Modesto, CA 95350-1273

Phone

(209) 558-5312

NPI assigned

Aug 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1669206207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MONTE CARLO AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503000",
            "telephone_number": "209-345-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 WOODROW AVE STE B10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501273",
            "telephone_number": "209-558-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANBERG",
        "first_name": "ZACHARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Lee Sutton
• Christina M Sutyak, EDUCATION SPECIALIST
• Lesley Faye Swafford, FNP-BC
• Andrea Marie Swan, O.D.
• Monte Swanberg
• Natasha Swart
• Matthew D Swatman, DDS, MSD
• Thein Swe, MD
• Elizabeth Marshall Swearingen, PH.D.
• Terence J. Sweeney, MD

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.