Active NPI
Gerardo Javier Zambrano, MD
- Psychiatry Physician
- Menlo Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A109402
- Practice address
- 795 Willow Rd
Building 321, Room B-147D
Menlo Park, CA 94025-2539 - Phone
- (650) 493-5000
- NPI assigned
- Jun 16, 2008
- Last updated
- Jul 22, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A109402 | CA | Primary |
Addresses
Primary practice location
795 Willow Rd
Building 321, Room B-147D
Menlo Park, CA 94025-2539
Mailing address
795 Willow Rd
Building 321, Room B-147D
Menlo Park, CA 94025-2539
Phone (650) 493-5000
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Stanford University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 938-6750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109402 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Health | Current | Accepting new patients | |
| Bay Psychiatric Associates | Psychiatry | Past | Accepting new patients |
Locations
1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341
2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Momentum for Health - Alameda Outpatient
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1154426807
-
dba Momentum for Health - Crossroads ART, ART OP
- Mental Illness Community Based Residential Treatment Facility
- San Jose, CA
- NPI 1215154992
-
dba Momentum for Health - ATS-OP White Rd
- Psychologist
- San Jose, CA
- NPI 1760181234
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1427163229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1730349457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 WILLOW RD",
"address_2": "BUILDING 321, ROOM B-147D",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940252539",
"telephone_number": "650-493-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WILLOW RD",
"address_2": "BUILDING 321, ROOM B-147D",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940252539",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBRANO",
"first_name": "GERARDO",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A109402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.