Healthcare Provider Details

I. General information

NPI: 1629907597
Provider Name (Legal Business Name): ZUBAIR RAHIMI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 NABOR LN
TRACY CA
95377-1154
US

IV. Provider business mailing address

120 NABOR LN
TRACY CA
95377-1154
US

V. Phone/Fax

Practice location:
  • Phone: 209-321-9840
  • Fax: 209-775-0033
Mailing address:
  • Phone: 209-321-9840
  • Fax: 209-775-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberCPT-02018062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: