Active NPI
Yelena Vaynerov, M.D.
- Adult Medicine Physician
- West Hollywood, CA
National Provider Identifier
1386673002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A38812
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A38812B | Other | CA | BLUE CROSS PROVIDER NUMBE |
| 00A388121 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101230000939 | CA | Practitioner - Family Practice | 6103014485 | Practice locations: West Hollywood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family 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
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38812 | CA | MD | General Practice Dentistry |
| A38812 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients | |
| Val Shulman M D Inc | Past | 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.
-
- Community/Retail Pharmacy
- West Hollywood, CA
- NPI 1730199555
-
- Mobile Radiology Clinic/Center
- Tarzana, CA
- NPI 1831046408
-
- Diagnostic Radiology Physician
- Tarzana, CA
- NPI 1033845292
-
- Mammography Clinic/Center
- Los Angeles, CA
- NPI 1780808097
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1215151626
-
- Sonography Radiologic Technologist
- Los Angeles, CA
- NPI 1568577161
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Encino, CA
- NPI 1528278959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.