Provider Demographics
NPI:1962386169
Name:ZAVORSKY, GERALD STANLEY (PHD, RRT)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:STANLEY
Last Name:ZAVORSKY
Suffix:
Gender:M
Credentials:PHD, RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4461 G ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3139
Mailing Address - Country:US
Mailing Address - Phone:314-226-0400
Mailing Address - Fax:
Practice Address - Street 1:1275 MEDICAL SCIENCES DRIVE
Practice Address - Street 2:RM 4327
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616
Practice Address - Country:US
Practice Address - Phone:530-754-6016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL194.0116352279P1006X, 227900000X
NV881256-TGSS-0246QC1000X
CA41216227900000X, 2279P1006X
LA307131224Y00000X
NVRC4113227900000X, 2279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist
No246QC1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyChemistry
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist