EVGENIY KREYDIN (NPI# 1386870889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386870889 |
| Entity Type | Individual |
| Full Name | EVGENIY KREYDIN |
| Credential | M.D. |
| Practice Address |
1516 San Pablo St Fl 5 Los Angeles CA 90033-5313 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 3238653700 |
| Mailing Telephone | 3238653700 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A133167 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Fruit St, Massachusetts General Hospital, Boston, MA 021142621 | 6177262797 |
| Street Address |
1516 SAN PABLO ST FL 5 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263932 | Richard Preciado | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2005-05-23 |
| 1215563796 | Robin S. Hong | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2020-03-17 |
| 1619501194 | Joyce Kim | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2020-02-24 |
| 1851944862 | Sharon Nazanin Dann | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2019-07-18 |
| 1003388232 | Sean Jin Hyuk Lee | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033 | 2018-12-28 |
| 1932699667 | Cesar Oropeza Romero | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033 | 2018-05-17 |
| 1760981948 | Angela Hsu | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2018-02-02 |
| 1598280307 | Elizabeth Helen Ephraim | Urology | 1516 San Pablo St Fl 5, Los Angeles, CA 90033 | 2017-08-14 |
| 1295107456 | Shilo Rosenberg | Urology | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2015-10-28 |
| 1780050955 | Rene Javier Sotelo | Urology | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689092728 | Fuad Fredric Elkhoury | Urology | 200 Med Plaza, Suite 140, Los Angeles, CA 90048 | 2014-04-05 |
| 1457778763 | Boston Medical Group California, L.L.C. | Urology | 9911 W. Pico Blvd, Suite 1215, Los Angeles, CA 90035 | 2014-03-25 |
| 1700219532 | Erwin Robert Blum | Urology | 3224 S Bentley Ave, Los Angeles, CA 90034-5204 | 2013-08-15 |
| 1851637235 | Andre Berger | Urology | 1516 San Pablo Street, Los Angeles, CA 90089-0112 | 2012-12-12 |
| 1548537335 | Kiran Gollapudi | Urology | Ucla Urology 10833 Le Conte Ave, 66-124 Chs, Los Angeles, CA 90095-0001 | 2011-11-21 |
| 1154632602 | Arash Akhavein Mohammadi | Urology | 8631 W 3rd St Ste 715e, Los Angeles, CA 90048 | 2010-06-30 |
| 1639307333 | Francis Thomas Greene | Urology | 603 N. June St, Los Angeles, CA 90004-1011 | 2009-07-01 |
| 1225278211 | Timothy John Daskivich | Urology | Chs 66 124, 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2009-03-03 |
| 1851562144 | Jonathan Bergman | Urology | 11907 Darlington Avenue #202, Los Angeles, CA 90049 | 2008-03-14 |
| 1023292851 | Pejvak Sassani | Urology | 4900 W Sunset Blvd Fl 2, Los Angeles, CA 90027-5814 | 2007-12-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.