Healthcare Provider Details

I. General information

NPI: 1700022647
Provider Name (Legal Business Name): ROBERT JOHN ZIOLA NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 BUENAVENTURA BLVD SUITE 100
REDDING CA
96001-0160
US

IV. Provider business mailing address

3116 W MARCH LN SUITE 200
STOCKTON CA
95219-2369
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-3164
  • Fax: 530-245-0849
Mailing address:
  • Phone: 209-473-6555
  • Fax: 209-473-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberRN 653790
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberNP 15570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: