Individual provider Active NPI

Alexander A Krakovsky, M.D.

  • Specialist
  • La Jolla, CA
National Provider Identifier
1023096443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A81711 Issued in CA
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000807 CA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 5698670800 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81711CAMDSpecialist
81711CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Anesthesia Provider Group Inc CurrentSince Nov 1, 2020 Accepting new patients
Brenton D. Wynn, MD Inc CurrentSince Oct 7, 2022 Accepting new patients
Algos Inc., a Medical Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Nov 20, 2017 Accepting new patients
Innovative Pain Management Medical Group Past Accepting new patients
Galileo Surgery Center, LP PastSince Oct 1, 2019 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBCGBA/Endpoint/HBCGBA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.