Individual provider Active NPI

Elia Zendejas

  • Psychologist
  • Camarillo, CA
National Provider Identifier
1831373646
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36693 Issued in CA
Practice address
2435 Ventura Blvd Ste C
Camarillo, CA 93010-6697
Phone
(805) 322-4875
Fax
(805) 204-2440
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36693 CA Primary
Marriage & Family Therapist 106H00000X 48735 CA

Addresses

Primary practice location

2435 Ventura Blvd Ste C
Camarillo, CA 93010-6697

Mailing address

2435 Ventura Blvd Ste C
Camarillo, CA 93010-6697
Phone (805) 322-4875

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004225 CA Practitioner - Marriage and Family Therapist 0840642419 Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36693CAMDPsychologist
48735CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1831373646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 VENTURA BLVD STE C",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106697",
            "telephone_number": "805-322-4875",
            "fax_number": "805-204-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 VENTURA BLVD STE C",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106697",
            "telephone_number": "805-322-4875",
            "fax_number": "805-204-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENDEJAS",
        "first_name": "ELIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36693",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.