Illia Kovalev

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

0002615765-0001-5 Issued in CA

Practice address

4533 Van Nuys Blvd Ste 302
Sherman Oaks, CA 91403-2950

Phone

(818) 849-6755

NPI assigned

May 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Master Sleep Inc.

  • Sleep Medicine (Family Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1215170469
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1639438435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 VAN NUYS BLVD STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032950",
            "telephone_number": "818-849-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 VAN NUYS BLVD STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032950",
            "telephone_number": "818-849-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEV",
        "first_name": "ILLIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "0002615765-0001-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hershel Korngut
• Galena Korol, PHARMD
• Niloufar Kosari, DDS
• Vahan Koshkaryan, MD
• Judy Koutal
• Josetta Rose Kovitch, PSY.D.
• Elizabeth Christine Kozarik
• Cynthia Lynn Kramer
• Daniel Kramon, PH.D.
• Robert Karl Kretz, PSY.D.

• Sleep Medicine (Internal Medicine) Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Sleep Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.