Provider Demographics
NPI:1700022647
Name:ZIOLA, ROBERT JOHN (NP-C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:ZIOLA
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 W MARCH LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-2369
Mailing Address - Country:US
Mailing Address - Phone:209-473-6555
Mailing Address - Fax:209-473-6544
Practice Address - Street 1:1335 BUENAVENTURA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0160
Practice Address - Country:US
Practice Address - Phone:530-246-3164
Practice Address - Fax:530-245-0849
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 653790163WP0000X
CANP 15570163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15570OtherNP LICENSE
CA653790OtherRN LICENSE NUMBER
CAD7589839OtherDRIVER'S LICENSE
CAD7589839OtherDRIVER'S LICENSE