Healthcare Provider Details

I. General information

NPI: 1154689628
Provider Name (Legal Business Name): JADE ALEXIS ZAPATA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 POST ST STE 300
SAN FRANCISCO CA
94115-3442
US

IV. Provider business mailing address

2211 POST ST STE 300
SAN FRANCISCO CA
94115-3442
US

V. Phone/Fax

Practice location:
  • Phone: 888-756-6487
  • Fax: 650-285-3226
Mailing address:
  • Phone: 888-756-6487
  • Fax: 650-285-3226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA119791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: