ILYA ZAK DDS INC. (NPI# 1245570043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245570043 |
| Entity Type | Organization |
| Organization Name | ILYA ZAK DDS INC. |
| Other Organization Name | DR. ZAK DENTAL CARE |
| Practice Address |
23838 Valencia Blvd Suite 150 Valencia CA 91355-5332 |
| Practice Telephone | 6612534000 |
| Practice Fax Number | 6612534063 |
| Mailing Telephone | 6612534000 |
| Mailing Fax Number | 6612534063 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | DR. ILYA ZAK (OWNER DENTIST) |
| Authorized Official Telephone | 3107065273 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
20673 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
61574 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
50315 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
48198 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
57513 | CA | Dental Providers |
| Y | 122300000X | Dentist | 38238 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | 1023165255-3 | 01 |
| Other Name | Type Code |
|---|---|
| Dr. Zak Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043576416 | Ilya Zak Dds Inc. | Dentist | 4537 Alamo St, Suite A, Simi Valley, CA 93063-6531 | 2012-04-10 |
| Street Address |
23838 VALENCIA BLVD SUITE 150 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620363 | Atul Madan | Surgery | 23838 Valencia Blvd, Valencia, CA 91355-5319 | 2006-04-21 |
| 1770065963 | Michael Tuan Hoang | Dentist | 23838 Valencia Blvd, Valencia, CA 91355-5319 | 2018-09-04 |
| 1609244417 | Justin B. Heller,m.d., Inc | Plastic Surgery | 23838 Valencia Blvd, Suite 260, Valencia, CA 91355-5319 | 2015-09-10 |
| 1134518988 | Kathleen A Siu Professional Corporation | Dentist | 23838 Valencia Blvd, 300, Valencia, CA 91355-5319 | 2015-01-16 |
| 1396186557 | Moshe Benarrochdmd A Dental Corporation | Dentist | 23838 Valencia Blvd, Suite 230, Valencia, CA 91355-5319 | 2013-07-16 |
| 1518258250 | Dewey D Pillai, Md, Inc | Family Medicine | 23838 Valencia Blvd, Suite 205, Valencia, CA 91355-5319 | 2011-04-28 |
| 1336440197 | Healthcare Partners Medical Group, P.C. | Health Maintenance Organization | 23838 Valencia Blvd, Suite 260, Valencia, CA 91355-5319 | 2010-11-10 |
| 1780907923 | Richard M. Abbott, M.a., M.f.t. A Marriage and Family Therapy Corporti | Marriage & Family Therapist | 23838 Valencia Blvd, Suite 220, Valencia, CA 91355-5319 | 2010-03-02 |
| 1316276942 | Ming-kong Chen | Obstetrics & Gynecology | 23838 Valencia Blvd, Suite 270, Valencia, CA 91355-5319 | 2009-12-10 |
| 1073783510 | Todd Schoenbaum | Dentist | 23838 Valencia Blvd, Suite #250, Valencia, CA 91355-5319 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745587 | Brandon Adam Villar | Dentist | 23300 Cinema Dr Ste 230, Valencia, CA 91355-1776 | 2019-08-16 |
| 1841852878 | Robert Pouya Hedvat Dds, Inc | Dentist | 25880 Tournament Rd Ste 214, Valencia, CA 91355-2395 | 2019-06-29 |
| 1609373448 | Gary Tang | Dentist | 28212 Kelly Johnson Pkwy Ste 115, Valencia, CA 91355-5085 | 2018-04-09 |
| 1215450085 | S Fatahi Dental Group Inc | Dentist | 24121 Baywood Ln Ste A, Valencia, CA 91355-6114 | 2017-07-24 |
| 1265846190 | Brian Gradinger | Dentist | 23838 Valencia Blvd Ste 301, Valencia, CA 91355-5335 | 2014-06-18 |
| 1225460470 | Kimberly Ann Rosen | Dentist | 27420 Tourney Rd Ste 270, Valencia, CA 91355-5636 | 2013-07-30 |
| 1679815674 | Rupali Kedia | Dentist | 25343 Silver Aspen Way, Apt 322, Valencia, CA 91381-0683 | 2013-03-18 |
| 1760731897 | Jason J Oh Dental Corporation | Dentist | 27420 Tourney Rd Ste 230, Valencia, CA 91355-5635 | 2012-09-05 |
| 1598095572 | Mark Taheri | Dentist | 25864 Tournament Rd Ste F, Valencia, CA 91355-2369 | 2010-01-13 |
| 1407012032 | Baywood Dental Group | Dentist | 24121 Baywood Ln, Suite A, Valencia, CA 91355-6114 | 2008-08-04 |
| Find all providers in VALENCIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.