Active NPI
Samuel Michael Zaki, DDS
- General Practice Dentistry
- Rancho Palos Verdes, CA
National Provider Identifier
1164560322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45348
- Practice address
- 31244 Palos Verdes Dr W Ste 235
Rancho Palos Verdes, CA 90275-5370 - Phone
- (310) 377-2777
- Fax
- (310) 377-9992
- NPI assigned
- Feb 1, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45348 | CA | Primary |
Addresses
Primary practice location
31244 Palos Verdes Dr W Ste 235
Rancho Palos Verdes, CA 90275-5370
Mailing address
PO Box 3039
Torrance, CA 90510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45348 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1164560322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3039",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31244 PALOS VERDES DR W STE 235",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755370",
"telephone_number": "310-377-2777",
"fax_number": "310-377-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKI",
"first_name": "SAMUEL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.