Individual provider Active NPI

Terrance Early Zastera, R1625750725

  • Addiction (Substance Use Disorder) Counselor
  • Anaheim, CA
National Provider Identifier
1679457956
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1625750725 Issued in CA
Practice address
1320 W Pearl St
Anaheim, CA 92801-5941
Phone
(714) 780-1174
Fax
(714) 844-9153
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1625750725 CA Primary

Addresses

Primary practice location

1320 W Pearl St
Anaheim, CA 92801-5941

Mailing address

1320 W Pearl St
Anaheim, CA 92801-5941
Phone (714) 780-1174

Other names 1

  • Mr. Terrance Early Zastera Professional name

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
R1625750725CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1679457956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W PEARL ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015941",
            "telephone_number": "714-780-1174",
            "fax_number": "714-844-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W PEARL ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015941",
            "telephone_number": "714-780-1174",
            "fax_number": "714-844-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTERA",
        "first_name": "TERRANCE",
        "middle_name": "EARLY",
        "name_prefix": "Mr.",
        "credential": "R1625750725",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1625750725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRANCE",
            "last_name": "ZASTERA",
            "middle_name": "EARLY",
            "prefix": "MR.",
            "credential": "R1625750725",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.