Individual provider Active NPI

Jennifer Liz Zambo, N.P.

  • Family Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1932319225
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13383 Issued in CA
Practice address
1551 Bishop St Ste 430
San Luis Obispo, CA 93401-4663
Phone
(805) 261-1044
Fax
(805) 634-3290
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 13383 CA Primary

Addresses

Primary practice location

1551 Bishop St Ste 430
San Luis Obispo, CA 93401-4663

Mailing address

1551 Bishop St Ste 430
San Luis Obispo, CA 93401-4663
Phone (805) 261-1044

Other practice location 1

1551 Bishop St Ste 510
San Luis Obispo, CA 93401-4665
Phone (805) 434-5530

Other practice location 2

1255 Las Tablas Rd Ste 201
Templeton, CA 93465-9750
Phone (805) 434-5530

Other practice location 3

1551 Bishop St Ste 230
San Luis Obispo, CA 93401-4661
Phone (805) 434-5530

Other practice location 4

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 434-5530

Other names 1

  • Jennifer L Emralino Former name

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
I20150617002385 CA Practitioner - Nurse Practitioner 7012228034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul D Wetzel MD IncGroup PAC ID 6406879964, 3 clinicians

Practice addresses (Care Compare)

1551 Bishop St
Suite 430
San Luis Obispo, CA 93401-4663
Phone (805) 541-8129

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul D. Wetzel, M.D. Inc CurrentSince Nov 15, 2024 Accepting new patients

Locations

1551 Bishop St
Ste 510
Sn Luis Obisp, CA 93401
Phone (805) 434-5530

1551 Bishop St
Ste 430
Sn Luis Obisp, CA 93401
Phone (805) 261-1044

1255 Las Tablas Rd
Ste 201
Templeton, CA 93465
Phone (805) 434-0339

Organizations & group practices 1

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 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1932319225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 430",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014663",
            "telephone_number": "805-261-1044",
            "fax_number": "805-634-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 430",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014663",
            "telephone_number": "805-261-1044",
            "fax_number": "805-634-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Bishop St Ste 510",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014665",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Las Tablas Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659750",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-434-0023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Bishop St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014661",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-786-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-786-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMBO",
        "first_name": "JENNIFER",
        "middle_name": "LIZ",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EMRALINO",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.