Provider Demographics
NPI:1184032799
Name:ZAMPORRI, JACOPO ALBERTO (MS, ATC, OTC)
Entity Type:Individual
Prefix:
First Name:JACOPO
Middle Name:ALBERTO
Last Name:ZAMPORRI
Suffix:
Gender:M
Credentials:MS, ATC, OTC
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:ZAMPORRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, ATC, OTC
Mailing Address - Street 1:1445 BELLEVUE AVE
Mailing Address - Street 2:APT 8
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2625 SHADELANDS DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598
Practice Address - Country:US
Practice Address - Phone:925-939-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant