Nanette Zumwalt Cadc-1, CCJP, CADC-1, CCJP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C2001306 Issued in CA

Practice address

21062 Brookhurst St Ste 202
Huntington Beach, CA 92646-7404

Phone

(714) 964-6730

Fax

(714) 964-4382

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1851783948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21062 BROOKHURST ST STE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467404",
            "telephone_number": "714-964-6730",
            "fax_number": "714-964-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21062 BROOKHURST ST STE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467404",
            "telephone_number": "714-964-6730",
            "fax_number": "714-964-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMWALT CADC-1, CCJP",
        "first_name": "NANETTE",
        "credential": "CADC-1, CCJP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C2001306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IICB",
            "identifier": "25847",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADAC",
            "identifier": "C2001306",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBADC",
            "identifier": "CJP1300109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Zide, LCSW
• Melyssa Zive
• Radmila Zivkovic
• Gina Zorrilla
• Austin Brian Zuerlein, ATC
• Zumwalt Neuropsychology PC
• Richard Zumwalt, PHD
• Alexis Zuniga, CCC-SLP
• Marie Alice Zuniga, PT, DPT
• Brynn Zwiep

• Addiction (Substance Use Disorder) Counselor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.