Healthcare Provider Details

I. General information

NPI: 1326539065
Provider Name (Legal Business Name): JAMES JOSEPH ZAPF JR. RN, NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 04/25/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 TRAVELODGE DR
EL CAJON CA
92020-4126
US

IV. Provider business mailing address

4919 CHIANTI CV
SAN DIEGO CA
92123-6441
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 619-366-7690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number95009157
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95009157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: