Healthcare Provider Details

I. General information

NPI: 1245013408
Provider Name (Legal Business Name): ASARIEL ZARATE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 BERNAL RD STE B
SAN JOSE CA
95119-1809
US

IV. Provider business mailing address

1057 ESCALONA DR
SANTA CRUZ CA
95060-2431
US

V. Phone/Fax

Practice location:
  • Phone: 408-780-0755
  • Fax: 408-956-6269
Mailing address:
  • Phone: 408-824-3263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: