Provider Demographics
NPI:1942859632
Name:ZAPATA, AIMEE MARIE L
Entity Type:Individual
Prefix:
First Name:AIMEE MARIE
Middle Name:L
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 PARAGON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-2217
Mailing Address - Country:US
Mailing Address - Phone:916-624-2636
Mailing Address - Fax:
Practice Address - Street 1:5440 PARAGON ST
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2217
Practice Address - Country:US
Practice Address - Phone:916-624-2636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1003116534OtherKAISER PERMANENTE