Active NPI
Raul Zavaleta
- Community Health Worker
- South Houston, TX
National Provider Identifier
1356178917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 10028
- Practice address
- 301 Avenue G
South Houston, TX 77587-4332 - Phone
- (415) 837-3478
- NPI assigned
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 10028 | TX | Primary |
Addresses
Primary practice location
301 Avenue G
South Houston, TX 77587-4332
Mailing address
301 Avenue G
South Houston, TX 77587-4332
Phone (415) 837-3478
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1356178917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 AVENUE G",
"city": "SOUTH HOUSTON",
"state": "TX",
"postal_code": "775874332",
"telephone_number": "415-837-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 AVENUE G",
"city": "SOUTH HOUSTON",
"state": "TX",
"postal_code": "775874332",
"telephone_number": "415-837-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALETA",
"first_name": "RAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "10028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.