Individual provider Active NPI

Yelena Vaynerov, M.D.

  • Adult Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1386673002
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A38812 Issued in CA
Practice address
7559 Santa Monica Blvd # 201
West Hollywood, CA 90046-6406
Phone
(323) 878-2523
Fax
(323) 878-2556
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A38812 CA Primary

Addresses

Primary practice location

7559 Santa Monica Blvd # 201
West Hollywood, CA 90046-6406

Mailing address

7559 Santa Monica Blvd # 201
West Hollywood, CA 90046-6406
Phone (323) 878-2523

Other identifiers 2

IdentifierTypeStateIssuer
A38812BOtherCABLUE CROSS PROVIDER NUMBE
00A388121MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000939 CA Practitioner - Family PracticePractitioner - General Practice 6103014485 Practice locations: West Hollywood, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7559 Santa Monica Blvd
West Hollywood, CA 90046-6406
Phone (323) 878-2523

Hospital & facility affiliations

  • Supportive Home Health Care Corp Home health agency, Encino, CA, CCN 058459
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38812CAMDGeneral Practice Dentistry
A38812CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Sonomed Radiology Inc. Past Accepting new patients
West Coast Medical Diagnostic Services, Inc Past Accepting new patients
Val P Shulman Past Accepting new patients
Curson Pharmacy Inc PastSince Apr 17, 2022 Accepting new patients
Val Shulman M D Inc PastSince May 1, 2003 Accepting new patients
Sonomed Technologies Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386673002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7559 SANTA MONICA BLVD # 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466406",
            "telephone_number": "323-878-2523",
            "fax_number": "323-878-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 SANTA MONICA BLVD # 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466406",
            "telephone_number": "323-878-2523",
            "fax_number": "323-878-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNEROV",
        "first_name": "YELENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A38812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "A38812B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A388121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.