Active NPI
John Zurita
- Contractor
- Beaverton, OR
National Provider Identifier
1902232804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 17757
- Practice address
- 14619 SW Teal Blvd
Beaverton, OR 97007 - Phone
- (541) 398-1164
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 17757 | OR | Primary |
Addresses
Primary practice location
14619 SW Teal Blvd
Beaverton, OR 97007
Mailing address
15055 SW Royalty Pkwy
Apt G26
Tigard, OR 97224-3915
Phone (541) 398-1164
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 |
|---|---|---|---|
| 17757 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1902232804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15055 SW ROYALTY PKWY",
"address_2": "APT G26",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243915",
"telephone_number": "541-398-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14619 SW TEAL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97007",
"telephone_number": "541-398-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZURITA",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "17757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.