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DMITRIY TRETIAK NP
NPI 1861993412
Nurse Practitioner - Acute Care in Tarzana, CA

Active since February 27, 2018PECOS Enrolled
6047 TAMPA AVE STE 301, TARZANA, CA 91356(888) 407-6706 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Mar 16, 2018, Feb 27, 2018 (3 updates tracked since 2018).

About Dmitriy Tretiak Np NPPES

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

DMITRIY TRETIAK NP (NPI 1861993412) is an individual acute care provider in Tarzana, California, licensed in California (95008578) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861993412
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDMITRIY TRETIAKCredential: NP
Location Address6047 TAMPA AVE STE 301Tarzana, CA 91356-1182
Mailing Address11539 Santini LnPorter Ranch, CA 91326-4421 · (818) 636-9344
Phone(888) 407-6706
Sole ProprietorYes
Enumeration DateFebruary 27, 2018
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1861993412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95008578
6047 TAMPA AVE STE 301, Tarzana, CA 91356
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmitriy Tretiak Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dmitriy Tretiak's NPI number?

The NPI number for Dmitriy Tretiak is 1861993412. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Dmitriy Tretiak located?

Dmitriy Tretiak practices at 6047 Tampa Ave Ste 301, Tarzana, CA 91356. The listed phone number is (888) 407-6706.

What is Dmitriy Tretiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Dmitriy Tretiak enrolled in Medicare?

Yes. Dmitriy Tretiak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitriy Tretiak was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.