Active NPI
Alexander Y. Nemirovsky, M.D. a Medical Corporation
- Anesthesiology Physician
- Monrovia, CA
National Provider Identifier
1639199193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A76455
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A764550 | Medicaid | CA | |
| 00A764550 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.