Individual provider Active NPI

Inessa Dombrovsky, DO

  • Maternal & Fetal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1598151771
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
20A14942 Issued in CA
Practice address
50 Alessandro PL Ste 210
Pasadena, CA 91105-4005
Phone
(626) 514-0060
Fax
(626) 514-0062
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A14942 CA
Maternal & Fetal Medicine Physician 207VM0101X 20A14942 CA Primary

Addresses

Primary practice location

50 Alessandro PL Ste 210
Pasadena, CA 91105-4005

Mailing address

50 Alessandro PL Ste 210
Pasadena, CA 91105-4005
Phone (626) 514-0060

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
I20200414001402 CA Practitioner - Obstetrics/Gynecology 5698105757 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14942CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron J Epstein MD Inc Obstetrics & Gynecology CurrentSince Sep 15, 2022 Accepting new patients
Providence St Joseph Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

2625 W Alameda Ave
Ste 410
Burbank, CA 91505
Phone (818) 450-6656

44215 15th St W
Ste 414
Lancaster, CA 93534

44215 15th St W
Ste 114
Lancaster, CA 93534
Phone (661) 945-4563

1127 Wilshire Blvd
Ste 1414
Los Angeles, CA 90017
Phone (213) 241-5000

50 Alessandro Pl
Ste 210
Pasadena, CA 91105
Phone (626) 440-9920

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: idombrovsky101927@direct.llu.edu

Organizations & group practices 4

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1598151771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054005",
            "telephone_number": "626-514-0060",
            "fax_number": "626-514-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054005",
            "telephone_number": "626-514-0060",
            "fax_number": "626-514-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROVSKY",
        "first_name": "INESSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A14942",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "20A14942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.