Organization Active NPI

Alexander Y. Nemirovsky, M.D. a Medical Corporation

  • Anesthesiology Physician
  • Monrovia, CA
National Provider Identifier
1639199193
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A76455 Issued in CA
Legal business name
ALEXANDER Y. NEMIROVSKY, M.D. A MEDICAL CORPORATION
Practice address
323 S Heliotrope Ave
Monrovia, CA 91016-2914
Phone
(310) 614-5182
NPI assigned
Jul 20, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Alexander Nemirovsky, M.D.
Title
President
Phone
(310) 614-5182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A76455 CA Primary

Addresses

Primary practice location

323 S Heliotrope Ave
Monrovia, CA 91016-2914

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

Other identifiers 2

IdentifierTypeStateIssuer
00A764550MedicaidCA
00A764550OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3460 Wilshire Blvd
Ste 1000
Los Angeles, CA 90010
Phone (213) 388-9909

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1639199193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S HELIOTROPE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162914",
            "telephone_number": "310-614-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER Y. NEMIROVSKY, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "NEMIROVSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-614-5182",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A76455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A764550",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A764550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.