Lacey Zack, MD Inc
NPI 1205301397 · Sports Medicine (Orthopaedic Surgery) Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lacey Zack, MD Inc is a Sports Medicine (Orthopaedic Surgery) Physician organization in Los Angeles, CA (NPI 1205301397).
Provider details
- NPI number
- 1205301397
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lacey Zack, President(213) 338-1521
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Frequently asked questions
- What is Lacey Zack, MD Inc's NPI number?
- Lacey Zack, MD Inc's National Provider Identifier (NPI) is 1205301397, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lacey Zack, MD Inc?
- Lacey Zack, MD Inc is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Lacey Zack, MD Inc located?
- Lacey Zack, MD Inc's practice location on file with NPPES is 1245 Wilshire Blvd Ste 607, Los Angeles, CA 90017-4806.
- What is Lacey Zack, MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Lacey Zack, MD Inc is (213) 338-1521.
- Does Lacey Zack, MD Inc accept Medicare?
- Lacey Zack, MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lacey Zack, MD Inc?
- The authorized official listed on Lacey Zack, MD Inc's NPPES record is Lacey Zack, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lacey Zack, MD Inc's NPI active?
- Yes — Lacey Zack, MD Inc's NPI (1205301397) is active in the NPPES registry as of the last update on 2020-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.