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ILAN BAZAK DPM PROFESSIONAL CORP
NPI 1396906111
Durable Medical Equipment & Medical Supplies in West Hollywood, CA

Active since June 24, 2008
1121 N FAIRFAX AVE, WEST HOLLYWOOD, CA 90046(323) 650-6363(323) 650-4377 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ilan Bazak Dpm Professional Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILAN BAZAK DPM PROFESSIONAL CORP (NPI 1396906111) is a healthcare organization registered as a durable medical equipment & medical supplies in West Hollywood, California and active in the NPI registry since June 2008. The organization lists Ilan Bazak, Owner, as its authorized official.

NPPES Registry Identity

NPI1396906111
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameILAN BAZAK DPM PROFESSIONAL CORP
Location Address1121 N FAIRFAX AVEWest Hollywood, CA 90046-5306
Mailing Address1121 N Fairfax AveWest Hollywood, CA 90046-5306 · (323) 650-6363 · Fax (323) 650-4377
Phone(323) 650-6363
Fax(323) 650-4377
Organization SubpartNo
Authorized OfficialIlan BazakOwner · (323) 650-6363
Enumeration DateJune 24, 2008
Last NPPES UpdateJuly 16, 2008
✔ NPI 1396906111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 0559350001
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1121 N FAIRFAX AVE, West Hollywood, CA 90046
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC0559350001CA
Medicare UPINU11985CA
Medicare PINE3741BCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilan Bazak Dpm Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ilan Bazak DPM Professional Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ilan Bazak, DPM
Podiatry
NPI 1932153970
1121 N FAIRFOX AVE
Los Angeles, CA 90046
(323) 650-6363
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilan Bazak Dpm Professional Corp's NPI number?

The NPI number for Ilan Bazak Dpm Professional Corp is 1396906111. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Ilan Bazak Dpm Professional Corp located?

Ilan Bazak Dpm Professional Corp is located at 1121 N Fairfax Ave, West Hollywood, CA 90046. The listed phone number is (323) 650-6363.

What is Ilan Bazak Dpm Professional Corp's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Ilan Bazak Dpm Professional Corp enrolled in Medicare?

Yes. Ilan Bazak Dpm Professional Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ilan Bazak Dpm Professional Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Ilan Bazak Dpm Professional Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ilan Bazak Dpm Professional Corp was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.