1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Licensed Psychiatric Technician
  6. NPI Profile

JACOB ADAM ZAVALA
NPI 1114554227
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since March 26, 2020
2945 MCMILLAN AVE STE 240, SAN LUIS OBISPO, CA 93401(805) 439-4890 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2020, Mar 26, 2020 (2 updates tracked since 2020).

About Jacob Adam Zavala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ADAM ZAVALA (NPI 1114554227) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (41575) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1114554227
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameJACOB ADAM ZAVALA
Location Address2945 MCMILLAN AVE STE 240San Luis Obispo, CA 93401-6771
Mailing Address1153 Ash St Ste BArroyo Grande, CA 93420-3844 · (805) 458-3659
Phone(805) 439-4890
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1114554227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 41575
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.
2945 MCMILLAN AVE STE 240, San Luis Obispo, CA 93401
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA BAILEY TABARES
Social Worker (Clinical)
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
AMY ELIZABETH MAYFIELD
Day Training/Habilitation Specialist
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
DESIREE DIANE GUZMAN
Technician, Health Information
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
SARA CHRISTINE MCCHESNEY LVN
Licensed Vocational Nurse
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
RANDI ROWE PUST PSYCH TECH
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
ISAAC VALDEZ
Case Manager/Care Coordinator
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
HANNAH MILLER
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4839
ALEXANDRIA MARIE JONES PSYCH TECH
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Zavala's NPI number?

The NPI number for Jacob Zavala is 1114554227. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jacob Zavala located?

Jacob Zavala practices at 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401. The listed phone number is (805) 439-4890.

What is Jacob Zavala's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Jacob Zavala was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.