Organization Active NPI

Santiago a Zamora MD PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1740463017
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F4720 Issued in TX
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

Updated by the provider on Jun 3, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
88750SOtherTXBLUECROSS BLUESHIELD
080561601MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.