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Ralph Stephen Zotovich, DDS

Pediatric Dentistry · San Jose

NPI 1417931114

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • 1 Medical Board action on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Zotovich’s office at (408) 259-1133 to ask if they take your plan before you enroll.

California Medical Board record

Licence C24420 · Cancelled

Licence status: Cancelled · since 1962 · University of Wisconsin Medical School.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
2019-08-07Board disciplineDisciplineRevoked. · 8002017036988

Professional record

NPI
1417931114
Licence
CA 24420California C24420: Cancelled
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223P0221X (1223P0221X)
Mailing address
150 N Jackson Ave, Suite 110, San Jose, CA, 95116
NPI first listed
2005-12-06
NPI last updated
2026-07-13

This is when the NPI record was last certified, not a medical board exam.