Individual provider Active NPI

Ilya Yakhnenko, MD

  • Hospitalist Physician
  • Wildomar, CA
National Provider Identifier
1427317460
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A132053 Issued in CA
Practice address
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone
(951) 677-1111
NPI assigned
May 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A132053 CA Primary

Addresses

Primary practice location

36485 Inland Valley Dr
Wildomar, CA 92595-9681

Mailing address

3208 Corte Pacifica
Carlsbad, CA 92009-6096
Phone (442) 325-1537

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
I20150708000013 CA Practitioner - Internal Medicine 8820300684 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians
Hospitalist Medicine Physicians of California IncGroup PAC ID 8426062027, 120 clinicians

Practice addresses (Care Compare)

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 724-8411

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132053CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physicians Network Inc CurrentSince Jul 16, 2019 Accepting new patients
Acute Care Associates of California PC CurrentSince Apr 20, 2024 Accepting new patients
Kansal Inc CurrentSince Sep 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Hospitalist CurrentSince Aug 16, 2017 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Inpatient Specialists of California, PC Hospitalist CurrentSince Jan 1, 2022 Accepting new patients

Locations

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

41593 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (951) 719-1111

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1427317460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 CORTE PACIFICA",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096096",
            "telephone_number": "442-325-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36485 INLAND VALLEY DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959681",
            "telephone_number": "951-677-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKHNENKO",
        "first_name": "ILYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A132053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.