MEDICARE: DR. STEVEN D ZELKO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G68357	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G68357	OTHER	CA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00G683570	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1306908223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN D ZELKO M.D.

Provider Business Mailing Address
First Line	:	1933 CLIFF DR STE 29
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1589
Country	:	US
Telephone Number	:	805-682-2618
Fax Number	:	805-682-0125

Provider Business Practice Location Address
First Line	:	1933 CLIFF DR STE 29
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1589
Country	:	US
Telephone Number	:	805-682-2618
Fax Number	:	805-682-0125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	11/01/2019

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