Active NPI
Ilya Zak, DDS
- Dentist
- Santa Clarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38238
- Practice address
- 26324 Bouquet Canyon Rd
Santa Clarita, CA 91350-2308 - Phone
- (661) 253-4000
- Fax
- (661) 253-4063
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38238 | CA | Primary |
Addresses
Primary practice location
26324 Bouquet Canyon Rd
Santa Clarita, CA 91350-2308
Mailing address
26324 Bouquet Canyon Rd
Santa Clarita, CA 91350-2308
Phone (661) 253-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Zak DDS Prof Dental Corp | Dentist | Current | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Current | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Current | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Past | Accepting new patients |
Locations
10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341
4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635
5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300
3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100
41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Downey, CA
- NPI 1588901979
-
- Dentist
- Agoura Hills, CA
- NPI 1316687114
-
- Dentist
- Temecula, CA
- NPI 1386163483
-
- Dentist
- Long Beach, CA
- NPI 1033859863
-
- Dentist
- Simi Valley, CA
- NPI 1174263974
-
dba Dr. Zak Santa Barbara Dental Care
- Dentist
- Santa Barbara, CA
- NPI 1265075204
-
- Dentist
- Ventura, CA
- NPI 1629633037
-
- Dentist
- San Diego, CA
- NPI 1922748755
-
- Dentist
- Santa Clarita, CA
- NPI 1942940762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023165255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26324 BOUQUET CANYON RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502308",
"telephone_number": "661-253-4000",
"fax_number": "661-253-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26324 BOUQUET CANYON RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502308",
"telephone_number": "661-253-4000",
"fax_number": "661-253-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAK",
"first_name": "ILYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.