Individual provider Active NPI

Tracy Lynn Zaslow, MD

  • Pediatric Sports Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1194810697
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
A80301 Issued in CA
Practice address
2020 Santa Monica Blvd Ste 400
Santa Monica, CA 90404-2139
Phone
(310) 829-2663
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A80301 CA
Pediatrics Physician 208000000X A80301 CA
Pediatric Sports Medicine Physician 2080S0010X A80301 CA Primary

Addresses

Primary practice location

2020 Santa Monica Blvd Ste 400
Santa Monica, CA 90404-2139

Mailing address

5353 Balboa Blvd
Suite 202
Encino, CA 91316-2804
Phone (818) 501-7276

Other practice location 1

5353 Balboa Blvd
Suite 202
Encino, CA 91316-2804
Phone (818) 501-7276

Other identifiers 1

IdentifierTypeStateIssuer
00A803010MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000669 CA Practitioner - Orthopedic Surgery 1254306483 Reassigns benefits to 1 organization
I20220314000662 CA Practitioner - Pediatric MedicinePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1254306483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Orthopedic Surgery, Sports Medicine
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 400
Santa Monica, CA 90404-2139
Phone (310) 829-2663

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation Specialist CurrentSince Mar 1, 2022 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Nov 19, 2011 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

5353 Balboa Blvd
Ste 202
Encino, CA 91316
Phone (818) 501-7276

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

2020 Santa Monica Blvd
Ste 400
Santa Monica, CA 90404
Phone (310) 315-2068

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

444 S San Vicente Blvd
Ste 603
West Hollywood, CA 90048
Phone (310) 423-1282

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1194810697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "SUITE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-501-7276",
            "fax_number": "818-501-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042139",
            "telephone_number": "310-829-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 BALBOA BLVD",
            "address_2": "SUITE 202",
            "address_purpose": "LOCATION",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "country_code": "US",
            "telephone_number": "818-501-7276",
            "fax_number": "818-501-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZASLOW",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A80301",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A80301",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CA",
            "license": "A80301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.