Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ilan Bazak, DPM

Individual provider Podiatrist · NPI 1932153970

Dr. Ilan Bazak, DPM is a Podiatry in Los Angeles, California. Graduated from California School of Podiatric Medicine in 1989, 37 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1121 N Fairfox Ave
Los Angeles, CA 90046
Phone: (323) 650-6363
Fax: (323) 650-4377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E3741 (CA)

Record details

NPI number1932153970
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1121 N Fairfox Ave, Los Angeles, CA 90046

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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