Individual provider Active NPI

Alexandra Divinsky, NP

  • Neuroscience Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1477644185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroscience Registered NurseTaxonomy code 163WN0800X
License
NP15115 Issued in CA
Practice address
11600 Wilshire Blvd
Suite 420
Los Angeles, CA 90025-5781
Phone
(310) 477-7201
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroscience Registered Nurse 163WN0800X NP15115 CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd
Suite 420
Los Angeles, CA 90025-5781

Mailing address

PO Box 64455
Los Angeles, CA 90064-0455
Phone (310) 477-7201

Other names 1

  • Mrs. Alexandra Bobrineva Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410000772 CA Practitioner - Nurse Practitioner 7719205392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11600 Wilshire Blvd
Suite 416
Los Angeles, CA 90025-1785
Phone (310) 477-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP15115CAMDNeuroscience Registered Nurse
15115CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Wilshire Family Medical Center Inc CurrentSince Jan 26, 2015 Accepting new patients

Locations

11600 Wilshire Blvd
Ste 416
Los Angeles, CA 90025
Phone (310) 477-7201

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477644185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64455",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640455",
            "telephone_number": "310-477-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD",
            "address_2": "SUITE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255781",
            "telephone_number": "310-477-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINSKY",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "CA",
            "license": "NP15115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "BOBRINEVA",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.