Active NPI
Gabriel Zuniga Lopez
- Rehabilitation Practitioner
- Ukiah, CA
National Provider Identifier
1861086951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 800 N State St
Ukiah, CA 95482-3410 - Phone
- (707) 467-2010
- NPI assigned
- Mar 1, 2021
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
800 N State St
Ukiah, CA 95482-3410
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010
Other practice location 1
110 E Mendocino Ave
Willits, CA 95490-3508
Phone (707) 467-2010
Other practice location 2
501 Peach St
Ukiah, CA 95482-4516
Phone (707) 468-5536
Other practice location 3
150 Gibson St
Ukiah, CA 95482-3941
Phone (707) 468-5536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc | Current | Accepting new patients | |
| Redwood Community Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Ukiah, CA
- NPI 1174778674
-
- Mental Illness Community Based Residential Treatment Facility
- Willits, CA
- NPI 1407351653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1861086951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2077",
"city": "UKIAH",
"state": "CA",
"postal_code": "954822077",
"telephone_number": "707-467-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823410",
"telephone_number": "707-467-2010"
}
],
"practiceLocations": [
{
"address_1": "110 E Mendocino Ave",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "954903508",
"country_code": "US",
"telephone_number": "707-467-2010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Peach St",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954824516",
"country_code": "US",
"telephone_number": "707-468-5536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Gibson St",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954823941",
"country_code": "US",
"telephone_number": "707-468-5536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUNIGA LOPEZ",
"first_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-01",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.