Active NPI
Yuriy Verpukhovskiy, M.D.
- Neurology Physician
- Panorama City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A76392
- Practice address
- 14860 Roscoe Blvd
Ste.306
Panorama City, CA 91402-4665 - Phone
- (818) 904-9200
- Fax
- (818) 904-9300
- NPI assigned
- May 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A76392 | CA | |
| Neurology Physician | 2084N0400X | A76392 | CA | Primary |
Addresses
Primary practice location
14860 Roscoe Blvd
Ste.306
Panorama City, CA 91402-4665
Mailing address
14860 Roscoe Blvd
Ste.306
Panorama City, CA 91402-4665
Phone (818) 904-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A763920 | Medicaid | CA | |
| A76392 | Other | AR | LICENSE |
| 202824485 | Other | CA | TAX ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19231 Victory Blvd
Suite 204
Reseda, CA 91335-6331
Phone (818) 904-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76392 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuriy Verpukhovskiy MD Inc | Current | Accepting new patients | |
| Tri Valley Neurology Medical Associates Inc. | Neurology | Past | Accepting new patients |
Locations
14901 Rinaldi St
Ste 325
Mission Hills, CA 91345
Phone (818) 898-9898
19231 Victory Blvd
Ste 204
Reseda, CA 91335
Phone (818) 342-6109
14860 Roscoe Blvd
Ste 306
Van Nuys, CA 91402
Phone (818) 616-2122
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Panorama City, CA
- NPI 1326244427
-
- Neurology Physician
- Mission Hills, CA
- NPI 1013932730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1053365270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14860 ROSCOE BLVD",
"address_2": "STE.306",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024665",
"telephone_number": "818-904-9200",
"fax_number": "818-904-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14860 ROSCOE BLVD",
"address_2": "STE.306",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024665",
"telephone_number": "818-904-9200",
"fax_number": "818-904-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERPUKHOVSKIY",
"first_name": "YURIY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A76392",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A76392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A763920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A76392",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "202824485",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.