Active NPI
Diana Zagalskaya, M.D.
- Pediatrics Physician
- Gardena, CA
National Provider Identifier
1477888154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A106875
- Practice address
- 14111 Van Ness Ave
Gardena, CA 90249-2950 - Phone
- (310) 329-2121
- NPI assigned
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A106875 | CA | Primary |
Addresses
Primary practice location
14111 Van Ness Ave
Gardena, CA 90249-2950
Mailing address
1037 N Vista St Apt 202
West Hollywood, CA 90046-6632
Phone (323) 449-3019
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106875 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Roads Foundation, Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Clinic/Center
- Long Beach, CA
- NPI 1669812392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1477888154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 N VISTA ST APT 202",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466632",
"telephone_number": "323-449-3019",
"fax_number": "323-512-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14111 VAN NESS AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902492950",
"telephone_number": "310-329-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAGALSKAYA",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A106875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.