Active NPI
Tania Cisneros Zamudio, D.D.S
- General Practice Dentistry
- Rancho Cordova, CA
National Provider Identifier
1669838355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 65335
- Practice address
- 3101 Zinfandel Dr Ste 120
Rancho Cordova, CA 95670-6396 - Phone
- (916) 634-0193
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 65335 | CA | Primary |
Addresses
Primary practice location
3101 Zinfandel Dr Ste 120
Rancho Cordova, CA 95670-6396
Mailing address
12155 Tributary Point Dr Apt 162
Gold River, CA 95670-4520
Phone (916) 704-8985
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 |
|---|---|---|---|
| 65335 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1669838355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12155 TRIBUTARY POINT DR APT 162",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704520",
"telephone_number": "916-704-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 ZINFANDEL DR STE 120",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706396",
"telephone_number": "916-634-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS ZAMUDIO",
"first_name": "TANIA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "65335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.