Healthcare Provider Details

I. General information

NPI: 1962386169
Provider Name (Legal Business Name): GERALD STANLEY ZAVORSKY PHD, RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 MEDICAL SCIENCES DRIVE RM 4327
DAVIS CA
95616
US

IV. Provider business mailing address

4461 G ST
SACRAMENTO CA
95819-3139
US

V. Phone/Fax

Practice location:
  • Phone: 530-754-6016
  • Fax:
Mailing address:
  • Phone: 314-226-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number194.011635
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code246QC1000X
TaxonomyChemistry Pathology Specialist/Technologist
License Number881256-TGSS-0
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number41216
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number307131
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRC4113
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number194.011635
License Number StateIL
# 7
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number41216
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License NumberRC4113
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: