Ilan Bazak DPM Professional Corp
NPI 1396906111 · Durable Medical Equipment & Medical Supplies · West Hollywood, CA
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilan Bazak DPM Professional Corp is a Durable Medical Equipment & Medical Supplies organization in West Hollywood, CA (NPI 1396906111).
Provider details
- NPI number
- 1396906111
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Ilan Bazak, Owner(323) 650-6363
- License
- 0559350001 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-06-24
- Last updated
- 2008-07-16
Frequently asked questions
- What is Ilan Bazak DPM Professional Corp's NPI number?
- Ilan Bazak DPM Professional Corp's National Provider Identifier (NPI) is 1396906111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ilan Bazak DPM Professional Corp?
- Ilan Bazak DPM Professional Corp is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Ilan Bazak DPM Professional Corp located?
- Ilan Bazak DPM Professional Corp's practice location on file with NPPES is 1121 N Fairfax Ave, West Hollywood, CA 90046-5306.
- What is Ilan Bazak DPM Professional Corp's phone number?
- The practice phone number listed in the NPPES registry for Ilan Bazak DPM Professional Corp is (323) 650-6363.
- Does Ilan Bazak DPM Professional Corp accept Medicare?
- Ilan Bazak DPM Professional Corp 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 Ilan Bazak DPM Professional Corp?
- The authorized official listed on Ilan Bazak DPM Professional Corp's NPPES record is Ilan Bazak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ilan Bazak DPM Professional Corp's NPI active?
- Yes — Ilan Bazak DPM Professional Corp's NPI (1396906111) is active in the NPPES registry as of the last update on 2008-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.