Active NPI
Marina Kovalevsky, M.D., a Professional Corporation
- General Practice Physician
- Los Angeles, CA
National Provider Identifier
1033164579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MARINA KOVALEVSKY, M.D., A PROFESSIONAL CORPORATION
- Practice address
- 7737 Santa Monica Blvd
Los Angeles, CA 90046-6269 - Phone
- (323) 650-3335
- Fax
- (323) 650-3337
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Kovalevsky, M.D.
- Title
- President
- Phone
- (323) 650-3335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
7737 Santa Monica Blvd
Los Angeles, CA 90046-6269
Mailing address
7737 Santa Monica Blvd
Los Angeles, CA 90046-6269
Phone (323) 650-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7737 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 650-3335
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1144377607
-
- Physician Assistant
- North Hollywood, CA
- NPI 1518127729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364774400000",
"number": "1033164579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900466269",
"telephone_number": "323-650-3335",
"fax_number": "323-650-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900466269",
"telephone_number": "323-650-3335",
"fax_number": "323-650-3337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA KOVALEVSKY, M.D., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2013-04-01",
"status": "A",
"authorized_official_last_name": "KOVALEVSKY",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-650-3335",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.