I ZAK DDS PROF DENTAL CORP (NPI# 1285287631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285287631 |
| Entity Type | Organization |
| Organization Name | I ZAK DDS PROF DENTAL CORP |
| Practice Address |
22755 Foothill Blvd Hayward CA 94541-4207 |
| Mailing Address |
10501 Lakewood Blvd Downey CA 90241-2709 |
| Practice Telephone | 5107824161 |
| Mailing Telephone | 3105039277 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | ILYA ZAK (CEO, DENTIST) |
| Authorized Official Telephone | 3105039277 |
| Authorized Official Credential | DDS |
| 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 Hayward Dental Care | Doing Business As Name - Organization |
| Golden State Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075204 | I Zak Dds Prof Dental Corp | Dentist | 5168 Hollister Ave, Santa Barbara, CA 93111-2526 | 2019-10-22 |
| 1487208773 | I Zak Dds Prof Dental Corp | Dentist | 15301 Washington Ave, San Leandro, CA 94579-1811 | 2019-07-25 |
| 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 |
22755 FOOTHILL BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366924912 | Foothill Dental Group | Dentist | 22755 Foothill Blvd, Hayward, CA 94541-4207 | 2018-08-30 |
| 1467092577 | Foothill Dental Group | Dentist | 22755 Foothill Blvd, Hayward, CA 94541-4207 | 2020-01-07 |
| 1447728332 | Yan Kalika Dental Corporation | Dentist | 22755 Foothill Blvd, Hayward, CA 94541-4207 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| 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 |
|---|---|---|---|---|
| 1073970778 | Jin Chung | Dentist | 24307 Southland Dr, Hayward, CA 94545-1517 | 2016-01-26 |
| 1588021398 | Suong Le Dental Corporation | Dentist | 805 Fletcher Ln, Hayward, CA 94544-1010 | 2016-01-25 |
| 1154793206 | Big Smile Dental Group, PC By Evangeline M. Memoracion D.d.s. | Dentist | 22429 Foothill Blvd, Hayward, CA 94541-4024 | 2015-10-28 |
| 1801288071 | Brian R Fong | Dentist | 21048 Haviland Ave, Hayward, CA 94541-2036 | 2015-02-25 |
| 1376932459 | Eugene Roytman Dmd, Inc | Dentist | 1866 B Street, Hayward, CA 94541 | 2015-01-13 |
| 1871930446 | Tran Villas Dental PC | Dentist | 26775 Hayward Blvd, Ste P, Hayward, CA 94542-2082 | 2013-05-22 |
| 1770862518 | Paulina Janette Del Rio | Dentist | 27724 Bruno St, Hayward, CA 94544-5259 | 2011-08-10 |
| 1013147438 | Jack M. Tsai | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2009-07-20 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1184862187 | Fernando Roberto Soto | Dentist | 25879 Gettysburg Ave, Hayward, CA 94545-2901 | 2009-01-29 |
| Find all providers in HAYWARD | ||||
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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.