I ZAK DDS PROF DENTAL CORP (NPI# 1265075204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265075204 |
| Entity Type | Organization |
| Organization Name | I ZAK DDS PROF DENTAL CORP |
| Other Organization Name | DR. ZAK SANTA BARBARA DENTAL CARE |
| Practice Address |
5168 Hollister Ave Santa Barbara CA 93111-2526 |
| Mailing Address |
10501 Lakewood Blvd Downey CA 90241-2709 |
| Practice Telephone | 8056928422 |
| Mailing Telephone | 5628622341 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | ILYA ZAK (PRESIDENT) |
| Authorized Official Telephone | 6612534000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr. Zak Santa Barbara Dental Care | Doing Business As Name - Organization |
| Dr. Zak Sea Breeze Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208773 | I Zak Dds Prof Dental Corp | Dentist | 15301 Washington Ave, San Leandro, CA 94579-1811 | 2019-07-25 |
| 1285287631 | I Zak Dds Prof Dental Corp | Dentist | 22755 Foothill Blvd, Hayward, CA 94541-4207 | 2019-07-24 |
| 1831742303 | I Zak Dds Prof Dental Corp | Dentist | 4167 Ohio St, San Diego, CA 92104-1926 | 2019-07-23 |
| 1629633037 | I Zak Dds Prof Dental Corp | Dentist | 1001 Partridge Dr Ste 210, Ventura, CA 93003-0716 | 2019-05-01 |
| 1457845125 | I Zak Dds Prof Dental Corp | Dentist | 1120 Via Verde, San Dimas, CA 91773-4401 | 2018-06-18 |
| 1386163483 | I Zak Dds Prof Dental Corp | Dentist | 41593 Winchester Rd Ste 211, Temecula, CA 92590-4857 | 2017-09-11 |
| 1588901979 | I Zak Dds Prof Dental Corp | Dentist | 10501 Lakewood Blvd, Ste A & B, Downey, CA 90241-2709 | 2013-01-07 |
| Street Address |
5168 HOLLISTER AVE |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93111-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407251010 | Boris Zak Dds Inc | Dentist | 5168 Hollister Ave, Santa Barbara, CA 93111-2526 | 2014-10-24 |
| 1447807755 | B. Deirmenjian, Dds, Inc | Dentist | 5168 Hollister Ave, Santa Barbara, CA 93111-2526 | 2019-08-21 |
| 1710413893 | Todd Nicol | Dentist | 5168 Hollister Ave, Santa Barbara, CA 93111-2526 | 2017-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343953 | Jennifer Parsons | Marriage & Family Therapist | 5266 Hollister, Santa Barbara, CA 93111 | 2017-08-23 |
| 1629386859 | Nona D Cometa | Assisted Living Facility | 4866 Frances St., Santa Barbara, CA 93111 | 2010-09-22 |
| 1861636466 | Homecare Casa Rhoda #4, Inc. | Assisted Living Facility | 112 Santa Ave Avenue, Santa Barbara, CA 93111 | 2009-04-27 |
| 1942444955 | Homecare Casa Rhoda #1, Inc. | Assisted Living Facility | 126 Santa Ana Avenue, Santa Barbara, CA 93111 | 2009-04-22 |
| 1124262134 | Homecare Casa Rhoda #3, Inc. | Assisted Living Facility | 341 Santa Rosalia Way, Santa Barbara, CA 93111 | 2009-04-22 |
| 1982848990 | Heritage House Group | Assisted Living Facility | 5200 Hollister Avenue, Santa Barbara, CA 93111 | 2009-04-22 |
| 1295979326 | Home Care Casa Rhoda #2, Inc. | Home Health | 165 Santa Ana Avenue, Santa Barbara, CA 93111 | 2009-04-20 |
| 1467694943 | Abundant Care | Assisted Living Facility | 5506 Somerset Dr, Santa Barbara, CA 93111 | 2009-03-31 |
| 1942442546 | Abundant Care II | Assisted Living Facility | 698 Zink Ave, Santa Barbara, CA 93111 | 2009-03-27 |
| 1073762738 | Paul Zettas | Orthopaedic Surgery | 1423 Camino Manadero, Santa Barbara, CA 93111 | 2008-09-17 |
| Find all providers in zip 93111 | ||||
| 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 |
|---|---|---|---|---|
| 1730678798 | Igor Lantsberg | Dentist | 31 W Gutierrez St, Santa Barbara, CA 93101 | 2018-05-05 |
| 1568998920 | Daniela Cadavid | Dentist | 14 Camino Verde, Santa Barbara, CA 93103-2144 | 2017-05-04 |
| 1689128845 | Clara Grace Mora | Dentist | 969 Miramonte Dr Apt 2, Santa Barbara, CA 93109-1328 | 2016-08-05 |
| 1407251010 | Boris Zak Dds Inc | Dentist | 5168 Hollister Ave, Santa Barbara, CA 93111-2526 | 2014-10-24 |
| 1629486469 | Dr Barnard Valeska Dds | Dentist | 4141 State St # 7, Santa Barbara, CA 93110-1814 | 2014-07-24 |
| 1831513191 | Robert Gregory Lowry | Dentist | 1525 State St Ste 200, Santa Barbara, CA 93101-6512 | 2014-02-06 |
| 1740627454 | Nina Madavi | Dentist | 1515 State St Ste 2, Santa Barbara, CA 93101-2536 | 2013-06-04 |
| 1124370143 | Lance Lee Grant | Dentist | 3906 State Street, Santa Barbara, CA 93105 | 2012-10-15 |
| 1245593334 | Jeffrey E Rohde | Dentist | 536 E Arrellaga St Ste 101, Santa Barbara, CA 93103-2262 | 2012-06-22 |
| 1558627984 | Dart, Kendall, & Rohde General Partnership | Dentist | 536 East Arrellaga, Ste 101, Santa Barbara, CA 93103-2262 | 2012-04-10 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93111 |
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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.