Nick Dzebolo MD Inc
NPI 1205138328ActiveOrganization· Radiology, Diagnostic Radiology· Glendale, CA
Radiology, Diagnostic Radiology in Glendale, California, registered in NPPES in November 2010. The authorized official on file is Nicholas N. Dzebolo, MD, Ceo.
Overview
| NPI | 1205138328 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2010 |
| Last updated in NPPES | Nov 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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