Individual provider Active NPI

Ilan Jeffrey Zuk, PHD

  • Clinical Psychologist
  • Spring Valley, CA
National Provider Identifier
1497702559
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19892 Issued in CA
Practice address
8625 Lamar St
Spring Valley, CA 91977-2518
Phone
(619) 722-0014
Fax
(619) 327-4174
NPI assigned
May 27, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19892 CA Primary

Addresses

Primary practice location

8625 Lamar St
Spring Valley, CA 91977-2518

Mailing address

PO Box 18228
Irvine, CA 92623-8228
Phone (619) 722-0014

Other practice location 1

1350 Euclid Ave
San Diego, CA 92105-5424
Phone (619) 722-0014

Other practice location 2

7800 Parkway Dr
LA Mesa, CA 91942-2001
Phone (619) 722-0014

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009003532 CA Practitioner - Clinical Psychologist 8628509007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Psychology Services PCGroup PAC ID 6204155187, 19 clinicians

Practice addresses (Care Compare)

3034 E Herndon Ave
Fresno, CA 93720-0300
Phone (559) 321-0883

8625 Lamar St
Spring Valley, CA 91977-2518
Phone (619) 461-3222

9009 Camp Rd
Spring Valley, CA 91977-2518
Phone (619) 460-2711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY19892CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Psychology Services PC CurrentSince Aug 6, 2024 Accepting new patients
Psychiatric Centers at San Diego, Inc. Med GRP Past Accepting new patients

Locations

1201 S Orange Ave
El Cajon, CA 92020
Phone (619) 441-1988

3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883

750 B St
Ste 2870
San Diego, CA 92101

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1497702559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18228",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926238228",
            "telephone_number": "619-722-0014",
            "fax_number": "619-327-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 LAMAR ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772518",
            "telephone_number": "619-722-0014",
            "fax_number": "619-327-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921055424",
            "country_code": "US",
            "telephone_number": "619-722-0014",
            "fax_number": "619-327-4174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7800 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919422001",
            "country_code": "US",
            "telephone_number": "619-722-0014",
            "fax_number": "619-327-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUK",
        "first_name": "ILAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

Verify at the official NPI Registry.