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NICHOLAS ZAJAC FNP-C
NPI 1740111079
Nurse Practitioner - Family in La Mesa, CA

Active since May 26, 2026
4038 VIOLET ST, LA MESA, CA 91941(419) 654-4452 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Zajac Fnp-c NPPES

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

NICHOLAS ZAJAC FNP-C (NPI 1740111079) is an individual family provider in La Mesa, California, licensed in Michigan (4704450107) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1740111079
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS ZAJACCredential: FNP-C
Location Address4038 VIOLET STLa Mesa, CA 91941-7544
Mailing Address4038 Violet StLa Mesa, CA 91941-7544 · (419) 654-4452
Phone(419) 654-4452
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1740111079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704450107
4038 VIOLET ST, La Mesa, CA 91941
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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 Nicholas Zajac's NPI number?

The NPI number for Nicholas Zajac is 1740111079. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Nicholas Zajac located?

Nicholas Zajac practices at 4038 Violet St, La Mesa, CA 91941. The listed phone number is (419) 654-4452.

What is Nicholas Zajac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicholas Zajac was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.