Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ivan Zacarias, RD, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1801509930

Mr. Ivan Zacarias, RD, IBCLC is a Registered Dietitian OR Nutrition Professional in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Valle Del Sol Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3807 N 7th St
Phoenix, AZ 85014-5005
Phone: (480) 407-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86064802 (AZ)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-152783 (AZ)

Record details

NPI number1801509930
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , IBCLC
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Valle Del Sol Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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