Healthcare Provider Details

I. General information

NPI: 1295546422
Provider Name (Legal Business Name): VERONICA ZEIDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 HARBOR BAY PKWY
ALAMEDA CA
94502-6501
US

IV. Provider business mailing address

2222 ENCINAL AVE APT D
ALAMEDA CA
94501-4423
US

V. Phone/Fax

Practice location:
  • Phone: 415-819-5208
  • Fax:
Mailing address:
  • Phone: 415-819-5208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2000059171
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number1057504
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: