Individual provider Active NPI

Elizabeth Zavala Silva

  • Counselor
  • Fresno, CA
National Provider Identifier
1629533948
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3313 N Sonora Ave
Fresno, CA 93722-4668
Phone
(559) 549-6619
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-75797 CA
Behavior Technician 106S00000X 19-75797 CA
Counselor 101Y00000X Primary

Addresses

Primary practice location

3313 N Sonora Ave
Fresno, CA 93722-4668

Mailing address

7109 Danny Dr
Stockton, CA 95210-5320
Phone (209) 957-7777

Other practice location 1

7109 Danny Dr
Stockton, CA 95210-5320
Phone (209) 957-7777 ext. 10

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

LicenseStateTypeSpecialty
19-75797CAMDBehavior Technician
RBT-19-75797CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine You, Inc CurrentSince Sep 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1629533948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 DANNY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105320",
            "telephone_number": "209-957-7777",
            "fax_number": "209-473-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 N SONORA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224668",
            "telephone_number": "559-549-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7109 Danny Dr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952105320",
            "country_code": "US",
            "telephone_number": "209-957-7777 x10",
            "fax_number": "209-473-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA SILVA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-19-75797",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "19-75797",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.