DAVID JAMES ZEZOFF (DO) – Diagnostic Radiology Physician, NPI 1639732175

DAVID JAMES ZEZOFF (DO) is a healthcare provider. based in Folsom, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 20A23965 (CA). The NPI Number for DAVID JAMES ZEZOFF (DO) is 1639732175

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DAVID JAMES ZEZOFF (DO)
NPI
1639732175
Phone
Not provided
Address
125 PATTON CT
Enumeration Date
19 April 2019
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187907100
Graduation Year
2020 (6 years ago)
PAC ID
7315454477
Group Practice PAC ID
0446157747
Professional Enrollment ID
I20250724003241
Address ID
CA912081407GL1812XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DAVID JAMES ZEZOFF (DO)

  • 125, Patton Court, Folsom, Sacramento County, California, 95630, United States

    FOLSOM, CA 956301836

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250724003241IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446157747View full group profile
NameSpecialtyState
-CA
U R O L O G YCA
Diagnostic RadiologyNY
Diagnostic RadiologyCA
-CA
-CA
H E M A T O L O G Y/ O N C O L O G YCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

What is DAVID JAMES ZEZOFF (DO)'s NPI number?
DAVID JAMES ZEZOFF (DO)'s NPI is 1639732175 — the number used across U.S. healthcare to identify this provider.
Is DAVID JAMES ZEZOFF (DO) still an active registrant?
DAVID JAMES ZEZOFF (DO) carries an active NPI according to the public dataset.
What expertise is attributed to DAVID JAMES ZEZOFF (DO)?
DAVID JAMES ZEZOFF (DO)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in California is DAVID JAMES ZEZOFF (DO) registered?
Use Folsom, California as the headline location for DAVID JAMES ZEZOFF (DO) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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