ILEANA E ZAPATERO MD NPI 1013086339
Dermatology in Pacific Palisades, CA

About ILEANA E ZAPATERO MD

Ileana Zapatero is a provider established in Pacific Palisades, California and her medical specialization is Dermatology. The NPI number of Ileana Zapatero is 1013086339 and was assigned on November 2006. The practitioner's primary taxonomy code is 207N00000X with license number G58746 (CA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013086339
Provider Name ILEANA E ZAPATERO MD
Location Address910 VIA DE LA PAZ SUITE 205 PACIFIC PALISADES, CA 90272
Location Phone(310) 454-5555
Mailing Address910 VIA DE LA PAZ SUITE 205 PACIFIC PALISADES, CA 90272
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date11-08-2006
Last Update Date07-08-2007

A dermatologist like Ileana E Zapatero Md is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.Ileana Zapatero is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ileana Zapatero opted out of Medicare effective on 01-01-2021 until 01-01-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

The CLIA number of Ileana E Zapatero Md is 05D0863370 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Ileana E Zapatero Md after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.G58746
License StateCA
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

ILEANA E ZAPATERO MD
910 VIA DE LA PAZ
SUITE 205
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 454-5555
Fax: (310) 454-0492

Get Directions


Mailing Address

ILEANA E ZAPATERO MD
910 VIA DE LA PAZ
SUITE 205
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 454-5555
Fax: (310) 454-0492


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Opted-Out of MedicareYes
Opt-Out Effective Date01-01-2021
Opt-Out End Date01-01-2023
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 283Destruction of 2-14 skin growths (HCPCS:17003)
  • 206Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 161Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 153Destruction of skin growth (HCPCS:17000)
  • 86Destruction of up to 14 skin growths (HCPCS:17110)
  • 36Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013086339 is:

CLIA Number05D0863370
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G587460OTHER (01)CABLUE SHIELD
G58746MEDICARE ID-TYPE UNSPECIFIED (04)
E23419MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013086339
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081236
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 2 + 3 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013086339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891706099DR. RONALD PHILIP WORMSER DMD
Individual
Dentist910 VIA DE LA PAZ
PACIFIC PALISADES, CA 90272
(310) 454-3732
1194898502 ALAN S BOOKIN MD
Individual
Dermatology910 VIA DE LA PAZ SUITE 104
PACIFIC PALISADES, CA 90272
(310) 454-0457
1336215631ALAN S BOOKIN MD INC
Organization
Dermatology910 VIA DE LA PAZ SUITE 104
PACIFIC PALISADES, CA 90272
(310) 454-0457
1992866412 JAMES BRAXTON LITTLE D.P.M.
Individual
Podiatrist910 VIA DE LA PAZ SUITE 101
PACIFIC PALISADES, CA 90272
(310) 454-5534
1689712358PALISADES PEDIATRICS
Organization
Specialist910 VIA DE LA PAZ SUITE #207
PACIFIC PALISADES, CA 90272
(310) 454-4466
1245422724 MARY-MARGARET SHAFFER KIM M.D.
Individual
Pediatrics910 VIA DE LA PAZ SUITE 207
PACIFIC PALISADES, CA 90272
(310) 454-4466
1265614341DR. MARCELLA B. HARDART MD
Individual
Pediatrics910 VIA DE LA PAZ STE 207
PACIFIC PALISADES, CA 90272
(310) 454-4466
1427256916VAN MEDICAL CORPORATION
Organization
Clinic/Center (Primary Care)910 VIA DE LA PAZ SUITE 101
PACIFIC PALISADES, CA 90272
(310) 454-4544
1154350528DR. DAVID H GELLER M.D.
Individual
Specialist910 VIA DE LA PAZ SUITE #207
PACIFIC PALISADES, CA 90272
(310) 454-4466
1619914967DR. DANA GRENIER HOLCOMB MD
Individual
Specialist910 VIA DE LA PAZ STE 205
PACIFIC PALISADES, CA 90272
(310) 454-5555
1659811065WORMSER SMILES DENTAL OFFICE INC
Organization
Dentist (General Practice)910 VIA DE LA PAZ SUITE 108
PACIFIC PALISADES, CA 90272
(310) 454-3732

Frequently Asked Questions

What is Ileana Zapatero MD NPI number?

The NPI number assigned to Ileana Zapatero MD is 1013086339, registered as an "individual" on November 08, 2006

Where is Ileana Zapatero MD located?

The provider is located at 910 Via De La Paz Suite 205 Pacific Palisades, Ca 90272 and the phone number is (310) 454-5555

Which is Ileana Zapatero MD specialty?

The provider's speciality is Dermatology

What insurance does Ileana Zapatero MD accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Ileana Zapatero MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Ileana Zapatero MD?

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Ileana Zapatero MD?

The most common procedures or services performed by this practitioner are: Destruction of 2-14 skin growths, Pathology examination of tissue using a microscope, intermediate complexity, Biopsy of single growth of skin and/or tissue, Destruction of skin growth, Destruction of up to 14 skin growths and Biopsy of each additional growth of skin and/or tissue.

What is Ileana Zapatero MD CLIA number?

The provider's CLIA number is 05D0863370 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

Does Ileana Zapatero MD accepts Medicare?

No, the provider signed an affidavit on January 01, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2023.

How do I update my NPI information?

The NPI record of Ileana Zapatero MD was last updated on November 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]