ZEKARIAS EYASSU


Address: 1425 Fruitdale Ave, San Jose, CA 95128-3234
Phone: 4082751010

ZEKARIAS EYASSU (NPI# 1851916415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851916415
Entity Type Individual
Full Name ZEKARIAS EYASSU
Practice Address 1425 Fruitdale Ave
San Jose
CA 95128-3234
Practice Telephone 4082751010
Enumeration Date 2020-06-10
Last Update Date 2020-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 37786 CA Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1171 7th Ave, Santa Cruz, CA 950622714 8314761701
251 Llewellyn Ave, Campbell, CA 950081940 4083793790

Office Location

Street Address 1425 FRUITDALE AVE
City SAN JOSE
State CA
Zip Code 95128-3234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376623256 Crestwood Behavioral Health, Inc Intermediate Care Facility, Mental Illness 1425 Fruitdale Ave, San Jose, CA 95128-3234 2006-10-16
1467096099 Limalyn Cortez Valera Licensed Vocational Nurse 1425 Fruitdale Ave, San Jose, CA 95128-3234 2019-11-06
1598065047 Crestwood Behavioral Health, Inc. Psychiatric Hospital 1425 Fruitdale Ave, San Jose, CA 95128-3234 2010-11-01
1164555686 Stanislaus County Community/Behavioral Health 1425 Fruitdale Ave, San Jose, CA 95128-3234 2007-03-13
1609908276 Neal H Jacobi Psychiatry & Neurology 1425 Fruitdale Ave, San Jose, CA 95128-3234 2007-03-09
1942357645 Robert D Daigle Family Medicine 1425 Fruitdale Ave, San Jose, CA 95128-3234 2007-01-04
1720157050 Crestwood Behavioral Health, Inc. Assisted Living Facility 1425 Fruitdale Ave, San Jose, CA 95128-3234 2006-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144716705 Esmeralda Tinoco Licensed Psychiatric Technician 871 Enborg Court, San Jose, CA 95128 2018-07-06
1346754025 Isata S Mbawa Licensed Psychiatric Technician 4987 Speak Ln, San Jose, CA 95118-2767 2017-11-16
1629512421 Godwin Kebila Kaba Licensed Psychiatric Technician 344 Los Pinos Way, San Jose, CA 95123-5117 2016-12-13
1457762767 Baltazar Pulido Licensed Psychiatric Technician 2459 Jubilee Ln, San Jose, CA 95131-1987 2014-05-08
1750404570 Jose Soliz Licensed Psychiatric Technician 277 Omira Dr, San Jose, CA 95123-3635 2007-04-08
1437756913 Juan Ramon Zago Licensed Psychiatric Technician 2221 Enborg Ln, San Jose, CA 95128-2608 2020-10-07
1780207571 Andrea Hernandez Licensed Psychiatric Technician 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 2020-05-27
1700426350 Christianna Paula Mathews Licensed Psychiatric Technician 2001 The Alameda, San Jose, CA 95126-1136 2020-01-12
1376189928 Alma Valencia Chacon Licensed Psychiatric Technician 2001 The Alameda, San Jose, CA 95126-1136 2019-11-19
1295370666 Henry Thinh Duong Licensed Psychiatric Technician 2001 The Alameda, San Jose, CA 95126-1136 2019-11-08
Find all providers in SAN JOSE

Competitor

Search similar providers

City SAN JOSE
Zip Code 95128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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