Alexander Illych Gerbakher, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

44175 Issued in CA

Practice address

12135 Magnolia Blvd
Valley Village, CA 91607-2609

Phone

(818) 761-0001

Fax

(866) 365-9764

NPI assigned

Aug 5, 2009

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Alexander Gerbakher DMD Corp

  • Dental Clinic/Center
  • Valley Village, CA
  • NPI 1962839795
  NPD (past) Authorized official
• Alexander Gerbakher, D.M.D., Corp.

  • Oral and Maxillofacial Surgery (Dentist)
  • Valley Village, CA
  • NPI 1225589120
  Authorized official Same address or phone

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1194956326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12135 MAGNOLIA BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072609",
            "telephone_number": "818-761-0001",
            "fax_number": "866-365-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12135 MAGNOLIA BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072609",
            "telephone_number": "818-761-0001",
            "fax_number": "866-365-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBAKHER",
        "first_name": "ALEXANDER",
        "middle_name": "ILLYCH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Gallemore, CMT
• Daniel James Gannon, B.S. R.PH
• Alexander Gantman, PSY.D.
• Lusya Gasparyan
• Gemini Home Health Inc.
• Svetlana Germashev, OTR/L
• Yury Geylikman, D.M.D.
• Ramin Ghayoori, M.D.
• Bruno Patrick Giannotta, D.C.
• Soheil Daniel Gideon

• Dentist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.