Ilya Sabsovich MD Inc a Medical Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A115064 Issued in CA

Legal business name

ILYA SABSOVICH MD INC A MEDICAL CORPORATION

Practice address

6140 Camino Verde Dr
Suite L
San Jose, CA 95119-1401

Phone

(650) 580-0939

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Ilya Sabsovich, MD

Title

President

Phone

(650) 580-0939

Specialties & licenses 2

Addresses

Other names 1

• ILYA SABSOVICH MD INC Doing business as

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1194165308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13290 LENNOX WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940223542",
            "telephone_number": "650-580-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 CAMINO VERDE DR",
            "address_2": "SUITE L",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191401",
            "telephone_number": "650-580-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILYA SABSOVICH MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "SABSOVICH",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-580-0939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A115064",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A115064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILYA SABSOVICH MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colin S. Ilas, D.D.S.
• Latrisha Ilas, DDS
• Patricia Ilas, DDS
• Iva Sikirica Ilic, M.D.
• Amylin Illorde
• Brittney Sau Lin Imada
• Kent Imai, MD
• Nichole E Imamura-Sperling, LCSW
• Cecilia K Imamura, O.D.
• Keiko Marianne Imazumi-Tang, PT, MSPT, DPT

• Pain Medicine (Anesthesiology) Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.