Healthcare Provider Details

I. General information

NPI: 1598689119
Provider Name (Legal Business Name): ZACHARY L WEISS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3873 HOWE ST STE 3
OAKLAND CA
94611-5343
US

IV. Provider business mailing address

3873 HOWE ST STE 3
OAKLAND CA
94611-5343
US

V. Phone/Fax

Practice location:
  • Phone: 408-658-0180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number141867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: