Ilya Sabsovich, M.D., M.SC.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A115064 Issued in CA

Practice address

13290 Lennox Way
Los Altos Hills, CA 94022-3542

Phone

(650) 580-0939

NPI assigned

Aug 11, 2011

Last updated

May 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ilya Sabsovich MD Inc a Medical Corporation

  dba Ilya Sabsovich MD Inc

  • Pain Medicine (Anesthesiology) Physician
  • San Jose, CA
  • NPI 1194165308
  Authorized official Same address or phone

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1255610945",
    "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": "13290 LENNOX WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940223542",
            "telephone_number": "650-580-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABSOVICH",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A115064",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A115064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Rosales, FNP
• Howard L Rosenberg, M.D.
• Myriam Rowland
• Alfred Rudolph, M.D.
• Melvin F. Russi Jr., M.D.
• Salari Medical Services (Ny), PLLC (Mitera)
• Nicole Shin, NP
• Angel Marie Smith, APRN, WHNP-BC
• Paul Norman Snider, MD
• Jenna Harris Starko, WHNP

• Pain Medicine (Anesthesiology) Physician in Los Altos Hills, CA
• Providers in Los Altos Hills, 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 May 17, 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.