Individual provider Active NPI

John J. Zavoshy, M.D.

  • Contractor
  • Mountain View, CA
National Provider Identifier
1043420391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
A25476 Issued in CA
Practice address
555 Castro St
Mountain View
Mountain View, CA 94041-2009
Phone
(650) 903-2600
Fax
(650) 903-2744
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X A25476 CA Primary

Addresses

Primary practice location

555 Castro St
Mountain View
Mountain View, CA 94041-2009

Mailing address

14081 Pike Rd
Saratoga, CA 95070-5362
Phone (404) 741-1693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25476CAMDContractor

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": "1183852800000",
    "number": "1043420391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14081 PIKE RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705362",
            "telephone_number": "404-741-1693",
            "fax_number": "408-741-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CASTRO ST",
            "address_2": "MOUNTAIN VIEW",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412009",
            "telephone_number": "650-903-2600",
            "fax_number": "650-903-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVOSHY",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "A25476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.