Elva Quetzeri Zamudio-Gonzalez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

525 Technology CT Ste 105
Riverside, CA 92507-2181

Phone

(951) 686-8500

NPI assigned

Sep 10, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Olive Crest

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1215418165
  NPD (past)
• Olive Crest

  • Community/Behavioral Health Agency
  • Bellflower, CA
  • NPI 1265569057
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1982187530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067079",
            "telephone_number": "562-866-8956",
            "fax_number": "562-866-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY CT STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072181",
            "telephone_number": "951-686-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907067079",
            "country_code": "US",
            "telephone_number": "562-866-8956 x1967",
            "fax_number": "562-866-4158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMUDIO-GONZALEZ",
        "first_name": "ELVA",
        "middle_name": "QUETZERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Zamora
• Xandria Zamora
• Miguel Adrian Zamorano Alcaraz, DO
• Kimberly Anne Zamorano
• Tanya Silva Zamorano, D.O.
• Tiffany Zamudio
• Charlotte Zane, M.D.
• Ammar Zanial
• Andrea Marie Zapata
• Luis A. Zapata, PH.D.

• Case Manager/Care Coordinator in Riverside, CA
• Providers in Riverside, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.