DR. ALEXANDER A IVANOV (NPI# 1285895045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285895045 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER A IVANOV |
| Credential | M.D. |
| Practice Address |
2800 L St Ste 500 Sacramento CA 95816-5616 |
| Mailing Address |
10470 Old Placerville Road Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9164546850 |
| Practice Fax Number | 9164546852 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A151118 | CA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | N/A | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790825222 | Alexander Ivanov | Psychiatry & Neurology | 115 Brightwater Ct, Brooklyn, NY 11235-7652 | 2007-02-07 |
| 1356873657 | Alexander Ivanov | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-3609 | 2017-03-28 |
| 1770583163 | Alexander Ivanov | Internal Medicine | 465 Union Ave, Bridgewater, NJ 08807-3196 | 2005-07-28 |
| Street Address |
2800 L ST STE 500 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486534 | Jacqueline V Tran | Legal Medicine | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2005-06-09 |
| 1629600952 | Monique Urbina | Family Medicine | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2020-02-05 |
| 1962877282 | Gasong Yun Nickerson | Nurse Practitioner | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2015-12-11 |
| 1174920060 | Tingting Jiang | Nurse Practitioner | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2014-11-20 |
| 1114345188 | Simrit Kaur Sodhi | Psychiatry & Neurology | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2014-04-06 |
| 1326333147 | Paul Seungpyo Hong | Orthopaedic Surgery | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2011-06-09 |
| 1528220720 | Manoj Mittal | Psychiatry & Neurology | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2008-06-28 |
| 1063558476 | Billy Hu | Psychiatry & Neurology | 2800 L St Ste 500, Sacramento, CA 95816-5616 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114284478 | Yi-ren Chen | Neurological Surgery | 3939 J St Ste 250, Sacramento, CA 95819-3637 | 2012-04-11 |
| 1942449244 | Jennifer Shinae Jennings | Neurological Surgery | 3939 J St Ste 380, Sacramento, CA 95819-3671 | 2009-02-10 |
| 1689864506 | Kevin E Hsieh | Neurological Surgery | 1430 22nd St, Sacramento, CA 95816 | 2007-07-26 |
| 1710018551 | Orin Bloch | Neurological Surgery | 3160 Folsom Blvd Ste 3900, Sacramento, CA 95816-5271 | 2007-03-07 |
| 1760524979 | Griffith R Harsh Iv | Neurological Surgery | 4860 Y St Ste 3740, Sacramento, CA 95817-2307 | 2007-02-13 |
| 1003921388 | Anne H. Sholes | Neurological Surgery | 2801 K St Ste 410, Neurosurgery, Sacramento, CA 95816-5119 | 2006-08-20 |
| 1215915517 | Kiarash Shahlaie | Neurological Surgery | Department of Neurological Surgery, 4860 Y Street, Suite #3740, Sacramento, CA 95817 | 2006-01-06 |
| 1942810858 | Allan Russell Martin | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-05 |
| 1700309168 | Tejas Karnati | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2017-07-18 |
| 1164970372 | Edwin Samuel Kulubya Jr. | Neurological Surgery | 4860 Y St, Sacramento, CA 95817 | 2016-09-16 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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| 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.