Active NPI
Zachary Taylor Larsen
- Licensed Psychiatric Technician
- Grass Valley, CA
National Provider Identifier
1396602850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 41800
- Practice address
- 145 Glasson Way
Grass Valley, CA 95945-5723 - Phone
- (530) 470-2409
- NPI assigned
- Jan 7, 2026
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 41800 | CA | Primary |
Addresses
Primary practice location
145 Glasson Way
Grass Valley, CA 95945-5723
Mailing address
3232 Freshwater CRK
Chico, CA 95973-2120
Phone (916) 671-9649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41800 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1396602850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 FRESHWATER CRK",
"city": "CHICO",
"state": "CA",
"postal_code": "959732120",
"telephone_number": "916-671-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 GLASSON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455723",
"telephone_number": "530-470-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ZACHARY",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "41800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.