Anthony Zamudio, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10758 Issued in CA

Practice address

3786 La Crescenta Ave Ste 101
Glendale, CA 91208-1059

Phone

(818) 546-8885

Fax

(818) 546-8885

NPI assigned

Dec 20, 2006

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment NPD
• Anthony Zamudio PHD

  • Psychologist
  • Glendale, CA
  • NPI 1679221717
  NPD Authorized official
• Prohealth Partners, a Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Torrance, CA
  • NPI 1841322823
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1912061391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3786 LA CRESCENTA AVE STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081059",
            "telephone_number": "818-546-8885",
            "fax_number": "818-546-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 LA CRESCENTA AVE STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081059",
            "telephone_number": "818-546-8885",
            "fax_number": "818-546-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Ocean View Blvd",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "LA Canada",
            "state": "CA",
            "postal_code": "910111438",
            "country_code": "US",
            "telephone_number": "818-546-8885",
            "fax_number": "818-546-8885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Grand Ave Ste 703",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153068",
            "country_code": "US",
            "telephone_number": "213-743-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Antonio Zamorano, D.O.
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• Elizabeth Anne Zapp, MD
• Zara Garry, Licensed Clinical Social Worker, Inc
• Jorge Zaragoza
• Nicholas Zaragoza

• Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.