Aleksey Olegovich Inokhodov, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018879 Issued in CA

Practice address

3471 Regional Pkwy Ste D
Santa Rosa, CA 95403-8269

Phone

(707) 284-7622

NPI assigned

Dec 20, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minghsun Liu, M.D., PC

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1306506126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 REGIONAL PKWY STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038269",
            "telephone_number": "707-284-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 REGIONAL PKWY STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038269",
            "telephone_number": "707-284-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOKHODOV",
        "first_name": "ALEKSEY",
        "middle_name": "OLEGOVICH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Ingrassia
• Inger Lise Ingvartsen, ASW
• Kofi E Inkabi, M.D.
• Innovative Behavior Resources Inc
• Ariel Inocencio Madrigal
• Christina Tlatilpa Inong
• Inpatient Consultants of California, Inc.
• Inpatient Services of California, a Medical Corporation
• Integrated Dermatology of Santa Rosa, PC
• Internal Medicine Associates of Santa Rosa Medical Group Inc

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.