Individual provider Active NPI

Kamal Zakka, MD

  • Retina Specialist (Ophthalmology) Physician
  • Beverly Hills, CA
National Provider Identifier
1851914543
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A37403 Issued in CA
Practice address
9100 Wilshire Blvd Ste 265E
Beverly Hills, CA 90212-3440
Phone
(800) 444-5241
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A37403 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 265E
Beverly Hills, CA 90212-3440

Mailing address

9100 Wilshire Blvd Ste 265E
Beverly Hills, CA 90212-3440
Phone (800) 444-5241

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001118 CA Practitioner - Ophthalmology 5193147486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kerry K Assil MD IncGroup PAC ID 3476467549, 9 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
FL 3
Beverly Hills, CA 90210-4238
Phone (310) 651-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A37403CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamal Zakka MD an Ophthalmological Corp Retina Specialist CurrentSince May 13, 2021 Accepting new patients
Kerry K. Assil, M.D., Inc. CurrentSince Apr 15, 2024 Accepting new patients

Locations

9100 Wilshire Blvd
Ste 265E
Beverly Hills, CA 90212
Phone (310) 274-1221

450 N Roxbury Dr
Fl 3
Beverly Hills, CA 90210
Phone (310) 453-8911

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1851914543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 265E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123440",
            "telephone_number": "800-444-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 265E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123440",
            "telephone_number": "800-444-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKKA",
        "first_name": "KAMAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A37403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.