Oleg M. Gavrilyuk, M.D., PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OLEG M. GAVRILYUK, M.D., PC

Practice address

6699 Alvarado Rd
#2302
San Diego, CA 92120-5244

Phone

(619) 764-0330

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Oleg M Gavrilyuk, M.D.NPI 1952496291

Title

Owner

Phone

(619) 764-0330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg M Gavrilyuk, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1952496291
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1144777590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "#2302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "#2302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205244",
            "telephone_number": "619-764-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEG M. GAVRILYUK, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "GAVRILYUK",
        "authorized_official_first_name": "OLEG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-764-0330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Marie Oldenburg, NP
• Jissel Guadalupe Olea Lopez
• Jenelle Olea
• Paulina Olech, LPC
• Jerrold Michael Olefsky, M.D.
• Brian Oleksy, DDS, MD
• Danielle Olen
• Alexandra Oleske, DO
• Sheri Lynn Oleson-Duncan, M.S.N.,R.N.P.,C.N.M.
• Amy Jane Hayden Oleson, PSYD

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.

Verify at the official NPI Registry.