Samantha Zimmerman, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002169 Issued in CA

Practice address

3401 S Main St
Unit K
Santa Ana, CA 92707-4306

Phone

(714) 396-1157

NPI assigned

Mar 10, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Alex Zand, MD a Professional Corporation

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1922299023
  Medicare reassignment NPD

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1962895334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S MAIN ST",
            "address_2": "UNIT K",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927074306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S MAIN ST",
            "address_2": "UNIT K",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927074306",
            "telephone_number": "714-396-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SAMANTHA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taija Rae Ziegenfuss
• Jessica L Zifzal
• Linda Zimbelman - L.M.F.T., M.A., L.M.F.T
• Robert K Zimmer, D.D.S.
• Christopher Martin Zimmerman, MD, MPH
• Frederick Oskar Zinnemann
• Ahdad Ziyar
• Elaine Zoberman-Saltiel, M.D.
• Zocalo Medical Group Ca
• Ayman Ayoub Zraiqat, DDS

• Family Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.