ILEANA E ZAPATERO MD
NPI 1013086339
Dermatology in Pacific Palisades, CA
NPI Status: Active since November 08, 2006
Contact Information
910 VIA DE LA PAZ
SUITE 205
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 454-5555
Fax: (310) 454-0492
- Individual
- Female
- Dermatology
- Opted-Out Medicare
About ILEANA ZAPATERO
This page provides the complete NPI Profile along with additional information for Ileana Zapatero, a provider established in Pacific Palisades, California with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1013086339 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 19 years ago.
- NPI
- 1013086339
- Provider Name
- ILEANA E ZAPATERO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 910 VIA DE LA PAZ SUITE 205 PACIFIC PALISADES, CA 90272
- Location Phone
- (310) 454-5555
- Location Fax
- (310) 454-0492
- Mailing Address
- 910 VIA DE LA PAZ SUITE 205 PACIFIC PALISADES, CA 90272
- Mailing Phone
- (310) 454-5555
- Mailing Fax
- (310) 454-0492
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-08-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dermatologist like Ileana Zapatero 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.
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 01-01-2027. 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 and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G58746
- License State
- CA
- Taxonomy Description
- A 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G587460 | OTHER (01) | CA | BLUE SHIELD |
| G58746 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| E23419 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2021
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013086339, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
PACIFIC PALISADES, CA 90272
PACIFIC PALISADES, CA 90272
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013086339, enumerated as an "individual" on November 08, 2006.
The provider is located at 910 VIA DE LA PAZ SUITE 205 PACIFIC PALISADES, CA 90272 and the phone number is (310) 454-5555.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
