Individual provider Active NPI

Meysam Zaker, MEYSAM ZAKER

  • Dentist
  • Ca, CA
National Provider Identifier
1386808673
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57220 Issued in CA
Practice address
2470 S. Western Ave
San Pedro
Ca, CA 90732
Phone
(424) 224-7300
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57220 CA Primary

Addresses

Primary practice location

2470 S. Western Ave
San Pedro
Ca, CA 90732

Mailing address

3204 Danaha St
Torrance, CA 90505-6925
Phone (310) 325-2015

Other names 1

  • Dr. Meysam Zaker Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J Sutherland DDS Inc PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1386808673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 DANAHA ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056925",
            "telephone_number": "310-325-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 S. WESTERN AVE",
            "address_2": "SAN PEDRO",
            "city": "CA",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "424-224-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKER",
        "first_name": "MEYSAM",
        "name_prefix": "Dr.",
        "credential": "MEYSAM  ZAKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEYSAM",
            "last_name": "ZAKER",
            "prefix": "DR.",
            "credential": "MEYSAM  ZAKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.