Active NPI
Jerilyn Zaveral, RADT-I
- Counselor
- Fresno, CA
National Provider Identifier
1801272349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R1195760315
- Practice address
- 4705 N Sonora Ave Ste 113a
Fresno, CA 93722-3966 - Phone
- (559) 276-7558
- Fax
- (559) 276-7568
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | R1195760315 | CA | Primary |
Addresses
Primary practice location
4705 N Sonora Ave Ste 113a
Fresno, CA 93722-3966
Mailing address
4705 N Sonora Ave Ste 113a
Fresno, CA 93722-3966
Phone (559) 276-7558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106208 | Other | CA | CALIFORNIA DEPARTMENT OF HEALTH SERVICES |
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 |
|---|---|---|---|
| R1195760315 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1801272349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 N SONORA AVE STE 113A",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223966",
"telephone_number": "559-276-7558",
"fax_number": "559-276-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 N SONORA AVE STE 113A",
"city": "FRESNO",
"state": "CA",
"postal_code": "937223966",
"telephone_number": "559-276-7558",
"fax_number": "559-276-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVERAL",
"first_name": "JERILYN",
"credential": "RADT-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "R1195760315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DEPARTMENT OF HEALTH SERVICES",
"identifier": "106208",
"state": "CA"
}
],
"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 Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.