Provider Demographics
NPI:1477351930
Name:ZUBIATE, KALISTA
Entity type:Individual
Prefix:
First Name:KALISTA
Middle Name:
Last Name:ZUBIATE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6526 BRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4503
Mailing Address - Country:US
Mailing Address - Phone:562-553-2922
Mailing Address - Fax:
Practice Address - Street 1:6526 BRIGHT AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4503
Practice Address - Country:US
Practice Address - Phone:562-553-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula