Provider Demographics
NPI:1306908223
Name:ZELKO, STEVEN D (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:ZELKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 CLIFF DR STE 29
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1589
Mailing Address - Country:US
Mailing Address - Phone:805-682-2618
Mailing Address - Fax:805-682-0125
Practice Address - Street 1:1933 CLIFF DR STE 29
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1589
Practice Address - Country:US
Practice Address - Phone:805-682-2618
Practice Address - Fax:805-682-0125
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68357207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG68357OtherBLUE CROSS
CA00G683570Medicaid
CA00G683570OtherBLUE SHIELD
CAC98701Medicare UPIN
CA00G683570OtherBLUE SHIELD