Alexsey Chetverukhin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A70079B Issued in CA

Practice address

23501 Cinema Dr Ste 200
Valencia, CA 91355-5430

Phone

(661) 288-4800

NPI assigned

Sep 13, 2006

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

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

Specialty

PsychiatryAlso: Ophthalmology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929
  Medicare reassignment NPD
• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmdale, CA
  • NPI 1881627420
  NPD
• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, CA
  • NPI 1902676075
  NPD
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1407951825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 SANTA MONICA BLVD STE 28",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466400",
            "telephone_number": "323-650-2991",
            "fax_number": "323-650-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR STE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555430",
            "telephone_number": "661-288-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7531 SANTA MONICA BLVD",
            "address_2": "STE 210",
            "address_purpose": "LOCATION",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466458",
            "country_code": "US",
            "telephone_number": "323-650-2991",
            "fax_number": "323-650-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHETVERUKHIN",
        "first_name": "ALEXSEY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A70079B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyscia Miriam Cheema, MD
• Curtis Chen, D.D.S.
• John Shengdao Chen, D.D.S.
• Ming-Kong Chen, M.D.
• Linda M Chenaur, D.C.
• Talisa Chhabra, OD
• Adam Chidekel, PSYCHOLOGIST
• Rebecca Anne Chilles, RN
• David Joseph Cho, MD, MBA
• Choi Chen Dental Corporation

• Psychiatry Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.

Verify at the official NPI Registry.