ILYA SABSOVICH MD INC A MEDICAL CORPORATION (NPI# 1194165308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194165308 |
| Entity Type | Organization |
| Organization Name | ILYA SABSOVICH MD INC A MEDICAL CORPORATION |
| Other Organization Name | ILYA SABSOVICH MD INC |
| Practice Address |
6140 Camino Verde Dr Suite L San Jose CA 95119-1401 |
| Mailing Address |
13290 Lennox Way Los Altos Hills CA 94022-3542 |
| Practice Telephone | 6505800939 |
| Mailing Telephone | 6505800939 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | ILYA SABSOVICH (PRESIDENT) |
| Authorized Official Telephone | 6505800939 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A115064 | CA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A115064 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ILYA SABSOVICH MD INC | Doing Business As Name - Organization |
| Street Address |
6140 CAMINO VERDE DR SUITE L |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972550085 | Kimberly M Pitts-davis | Pediatrics | 6140 Camino Verde Dr, Suite J, San Jose, CA 95119-1401 | 2006-05-27 |
| 1477812899 | Joan Marie Funari | Hearing Instrument Specialist | 6140 Camino Verde Dr, Suite I, San Jose, CA 95119-1401 | 2012-05-04 |
| 1740546233 | The Hearing Center | Clinic/Center | 6140 Camino Verde Dr, San Jose, CA 95119-1401 | 2012-04-09 |
| 1013214865 | Christian Foglar, Md, Inc. | Specialist | 6140 Camino Verde Dr, San Jose, CA 95119-1401 | 2011-02-14 |
| 1437485059 | Karen Phung Cun | Dentist | 6140 Camino Verde Dr, Suite J, San Jose, CA 95119-1401 | 2009-11-02 |
| 1275755472 | Alejandro Magana | Chiropractor | 6140 Camino Verde Dr, Suite L, San Jose, CA 95119-1401 | 2007-05-03 |
| 1851426514 | Joseph R. Ferrito | Audiologist | 6140 Camino Verde Dr, Suite I, San Jose, CA 95119-1401 | 2007-02-22 |
| 1467594556 | Joan Y. Enns | Speech-Language Pathologist | 6140 Camino Verde Dr, Suite K, San Jose, CA 95119-1401 | 2007-02-13 |
| 1972641215 | Christian Foglar, Md, Inc. | Orthopaedic Surgery | 6140 Camino Verde Dr, Suite L, San Jose, CA 95119-1401 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497136287 | Connie Kim Bruno | Anesthesiology | 2105 Forest Ave, San Jose, CA 95128-1425 | 2015-06-17 |
| 1912320615 | Asmina Khan Medical Corporation | Anesthesiology | 4986 Cherry Ave, San Jose, CA 95118-2748 | 2014-01-31 |
| 1700129889 | Phillip Telefus | Anesthesiology | 250 Hospital Pkwy, San Jose, CA 95119 | 2013-03-27 |
| 1386976769 | Tu Nguyen Mjas Medical Corporation | Anesthesiology | 25 N 14th St Ste 650, San Jose, CA 95112-6213 | 2010-02-09 |
| 1376799460 | Un Hui Nam | Anesthesiology | 2179 Tully Rd, San Jose, CA 95122-1346 | 2008-08-08 |
| 1437285624 | Shabeen Chander Tharani | Anesthesiology | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2007-02-24 |
| 1639141005 | Raymond Hsieh | Anesthesiology | 2101 Forest Ave, Suite 117, San Jose, CA 95128-1448 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ILYA SABSOVICH MD INC A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.