Active NPI
Dylan Estevan Zavala
- Rehabilitation Practitioner
- San Diego, CA
National Provider Identifier
1962238592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 892 27TH St
San Diego, CA 92154-1444 - Phone
- (619) 575-4687
- NPI assigned
- Sep 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
892 27TH St
San Diego, CA 92154-1444
Mailing address
5555 Reservoir Dr Unit 204a
San Diego, CA 92120-5134
Phone (619) 822-1800
Other practice location 1
5555 Reservoir Dr Unit 204A
San Diego, CA 92120-5134
Phone (619) 822-1800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1962238592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 RESERVOIR DR UNIT 204A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205134",
"telephone_number": "619-822-1800",
"fax_number": "619-839-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "892 27TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921541444",
"telephone_number": "619-575-4687"
}
],
"practiceLocations": [
{
"address_1": "5555 Reservoir Dr Unit 204A",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921205134",
"country_code": "US",
"telephone_number": "619-822-1800",
"fax_number": "619-839-3872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVALA",
"first_name": "DYLAN",
"middle_name": "ESTEVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-10",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.