Individual provider Active NPI

Ernesto Sarmiento Zambrano, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Vallejo, CA
National Provider Identifier
1790161024
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002746 Issued in CA
Practice address
100 Hospital Dr Ste 304
Vallejo, CA 94589-2583
Phone
(707) 643-6483
NPI assigned
Aug 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002746 CA Primary

Addresses

Primary practice location

100 Hospital Dr Ste 304
Vallejo, CA 94589-2583

Mailing address

100 Hospital Dr Ste 304
Vallejo, CA 94589-2583
Phone (707) 643-6483

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025002818 CA Practitioner - Nurse Practitioner 8628344264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Vallejo, CA 94589-2580
Phone (707) 551-3600

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002746CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 22, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 22, 2019 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

1100 Rose Dr
Ste 140
Benicia, CA 94510
Phone (707) 745-1720

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

100 Hospital Dr
Ste 110
Vallejo, CA 94589
Phone (707) 551-3300

100 Hospital Dr
Ste 200
Vallejo, CA 94589
Phone (707) 551-3400

100 Hospital Dr
Ste 304
Vallejo, CA 94589
Phone (707) 643-6483

Interoperability endpoints

  • Direct secure messaging: ezambrano428140@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1790161024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR STE 304",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892583",
            "telephone_number": "707-643-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR STE 304",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892583",
            "telephone_number": "707-643-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "ERNESTO",
        "middle_name": "SARMIENTO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.