Individual provider Active NPI

Paula Kae Zervoulakos, FNP- C

  • Family Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1750268488
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034411 Issued in CA
Practice address
2601 Nut Tree Rd Ste B
Vacaville, CA 95687-6918
Phone
(925) 685-4224
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95034411 CA Primary

Addresses

Primary practice location

2601 Nut Tree Rd Ste B
Vacaville, CA 95687-6918

Mailing address

2601 Nut Tree Rd Ste B
Vacaville, CA 95687-6918
Phone (925) 685-4224

Other practice location 1

1620 Pennsylvania Ave Ste B
Fairfield, CA 94533-3509
Phone (925) 685-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912000417 CA Practitioner - Nurse Practitioner 8729581038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2182 E St
Concord, CA 94520-2012

3330 Clayton Rd
Suite B
Concord, CA 94519-2894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jiva Health, Inc CurrentSince Sep 2, 2025 Accepting new patients

Locations

2182 East St
Concord, CA 94520
Phone (925) 392-4731

1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002

1860 Mowry Ave
Ste 201
Fremont, CA 94538
Phone (510) 284-4100

2601 Nut Tree Rd
Ste B
Vacaville, CA 95687
Phone (707) 446-2762

215 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (770) 365-5032

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1750268488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NUT TREE RD STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876918",
            "telephone_number": "925-685-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NUT TREE RD STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876918",
            "telephone_number": "925-685-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Pennsylvania Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333509",
            "country_code": "US",
            "telephone_number": "925-685-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZERVOULAKOS",
        "first_name": "PAULA",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "FNP- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.