Active NPI
Santiago a Zamora MD PA
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1740463017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F4720
- Legal business name
- SANTIAGO A ZAMORA MD PA
- Practice address
- 2421 E 7TH St
Austin, TX 78702-3492 - Phone
- (512) 473-4180
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Marlin Jaimes
- Title
- Office Manager
- Phone
- (512) 473-4180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F4720 | TX | Primary |
Addresses
Primary practice location
2421 E 7TH St
Austin, TX 78702-3492
Mailing address
2421 E 7TH St
Austin, TX 78702-3492
Phone (512) 473-4180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88750S | Other | TX | BLUECROSS BLUESHIELD |
| 080561601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2100B E 6th St
Austin, TX 78702
Phone (512) 474-7824
104 Robt T Martinez Jr St
Austin, TX 78702
Phone (512) 474-7824
2421 E 7th St
Austin, TX 78702
Phone (512) 473-4180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307059200000",
"number": "1740463017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 E 7TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023492",
"telephone_number": "512-473-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 E 7TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023492",
"telephone_number": "512-473-4180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTIAGO A ZAMORA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2011-06-03",
"status": "A",
"authorized_official_last_name": "JAIMES",
"authorized_official_first_name": "MARLIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "512-473-4180",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "F4720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "88750S",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080561601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.