I Zak DDS Prof Dental Corp
NPI 1588901979ActiveOrganization· Dentist· Downey, CA
Dentist in Downey, California, registered in NPPES in January 2013. The authorized official on file is Ilya Zak, DDS, Owner, Dentist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588901979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2013 |
| Last updated in NPPES | Apr 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 38238 | CA |
| Dentist | 122300000X | 26453 | CA |
| Dentist | 122300000X | 61574 | CA |
| Dentist | 122300000X | 46372 | CA |
| Dentist | 122300000X | 55241 | CA |
| Dentist | 122300000X | 48766 | CA |
| Dentist, Endodontics | 1223E0200X | 20673 | CA |
| Dentist, Pediatric Dentistry | 1223P0221X | 60315 | CA |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 48198 | CA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 57513C | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Dentist providers in Downey
- 1356026025
- 1992174379
- 1265613160
- 1992824049
- 1942697628
- 1528442571
- 1720470735
- 1013088293
- 1073918140
- 1851555221
- 1902911605
- 1093861882