Healthcare Provider Details

I. General information

NPI: 1346471141
Provider Name (Legal Business Name): LISA PINEIDA ZAPATA LVN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38324 SUMAC LN
YOKUTS VALLEY CA
93675-8700
US

IV. Provider business mailing address

38324 SUMAC LN
YOKUTS VALLEY CA
93675-8700
US

V. Phone/Fax

Practice location:
  • Phone: 559-939-0208
  • Fax:
Mailing address:
  • Phone: 559-939-0208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95374109
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN229985
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95374109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: