Active NPI
Alexander A Krakovsky, M.D.
- Specialist
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A81711
- Practice address
- 7946 Ivanhoe Ave Ste 106
La Jolla, CA 92037-4516 - Phone
- (858) 551-9500
- Fax
- (858) 551-9503
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A81711 | CA | Primary |
Addresses
Primary practice location
7946 Ivanhoe Ave Ste 106
La Jolla, CA 92037-4516
Mailing address
7946 Ivanhoe Ave Ste 106
La Jolla, CA 92037-4516
Phone (858) 551-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81711 | CA | MD | Specialist |
| 81711 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Anesthesia Provider Group Inc | Current | Accepting new patients | |
| Brenton D. Wynn, MD Inc | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Innovative Pain Management Medical Group | Past | Accepting new patients | |
| Galileo Surgery Center, LP | Past | Accepting new patients | |
| Algos Inc., a Medical Corporation | Past | Accepting new patients |
Locations
891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308
502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451
333 W Harbor Dr
Ste 126
San Diego, CA 92101
3434 Midway Dr
Ste 1008
San Diego, CA 92110
Phone (858) 432-7899
7525 Metropolitan Dr
Ste 302
San Diego, CA 92108
Phone (619) 325-1161
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBCGBA/Endpoint/HBCGBA
- akrakovsky81218@scrippshlth.medalliesdirect.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
- Anesthesiology Physician
- Pasadena, CA
- NPI 1538404256
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1598953960
-
- Pain Medicine (Anesthesiology) Physician
- Murrieta, CA
- NPI 1184767360
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
-
- Ambulatory Surgical Clinic/Center
- San Luis Obispo, CA
- NPI 1396748547
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1902330285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023096443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7946 IVANHOE AVE STE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374516",
"telephone_number": "858-551-9500",
"fax_number": "858-551-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7946 IVANHOE AVE STE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374516",
"telephone_number": "858-551-9500",
"fax_number": "858-551-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAKOVSKY",
"first_name": "ALEXANDER",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A81711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.