Individual provider Active NPI

Zhanna Sapozhnikov

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1023204492
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CP19517 Issued in CA
Practice address
150 S Commonwealth Ave
Los Angeles, CA 90004-6006
Phone
(310) 592-1758
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X CP19517 CA Primary

Addresses

Primary practice location

150 S Commonwealth Ave
Los Angeles, CA 90004-6006

Mailing address

11301 W Olympic Blvd Ste 121-440
Los Angeles, CA 90064-1653
Phone (310) 592-1758

Other practice location 1

420 South Beverly Hills Dr.
100
Beverly Hills, CA 90212
Phone (310) 592-1758

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001128 CA Practitioner - Clinical Psychologist 5092606616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 S Commonwealth Ave
Los Angeles, CA 90004-6006
Phone (213) 382-6381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP19517CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sapozhnikov & Psychological Associates Inc Clinical CurrentSince Jan 1, 2006 Accepting new patients
Galaxy Medical Center Inc PastSince May 23, 2016 Accepting new patients
Galaxy Medical Center, Inc. Past Accepting new patients

Locations

150 S Commonwealth Ave
Los Angeles, CA 90004
Phone (213) 382-6381

11301 W Olympic Blvd
Ste 121440
Los Angeles, CA 90064

4280 Cypress Dr
San Bernardino, CA 92407
Phone (310) 592-1758

Organizations & group practices 3

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1023204492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 W OLYMPIC BLVD STE 121-440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641653",
            "telephone_number": "310-592-1758",
            "fax_number": "310-772-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S COMMONWEALTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046006",
            "telephone_number": "310-592-1758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 South Beverly Hills Dr.",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "90212",
            "country_code": "US",
            "telephone_number": "310-592-1758",
            "fax_number": "310-772-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPOZHNIKOV",
        "first_name": "ZHANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CP19517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.