Provider Demographics
NPI:1073317269
Name:ZANDI, ADRIAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:ZANDI
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:MR
Other - First Name:ADRIAN
Other - Middle Name:
Other - Last Name:ZANDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PPS
Mailing Address - Street 1:510 G ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-1259
Mailing Address - Country:US
Mailing Address - Phone:925-779-7500
Mailing Address - Fax:
Practice Address - Street 1:4730 STERLING HILL DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-7673
Practice Address - Country:US
Practice Address - Phone:925-779-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230276817103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool