Healthcare Provider Details

I. General information

NPI: 1366566895
Provider Name (Legal Business Name): RODRIGO ZARATE ADULT COMPANION
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 GEER RD STE 120
TURLOCK CA
95382-2456
US

IV. Provider business mailing address

1700 MCHENRY VILLAGE WAY STE 11
MODESTO CA
95350-4341
US

V. Phone/Fax

Practice location:
  • Phone: 209-412-3091
  • Fax:
Mailing address:
  • Phone: 209-526-1440
  • Fax: 209-550-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: