Individual provider Active NPI

Alla Kryukova, CRNA

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1639506322
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
564226 Issued in CA
Practice address
1200 N State St
La Usc County Medical Center
Los Angeles, CA 90033
Phone
(323) 226-2622
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 564226 CA Primary

Addresses

Primary practice location

1200 N State St
La Usc County Medical Center
Los Angeles, CA 90033

Mailing address

17500 Sherman Way Unit 101
Lake Balboa, CA 91406-3556
Phone (818) 585-0326

Other names 1

  • Ms. Alla Milshteyn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130002073 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426967431 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Un of California, Irvine, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tip Top Anesthesia Group IncGroup PAC ID 0941429872, 45 clinicians

Practice addresses (Care Compare)

50 N la Cienega Blvd
Suite 203
Beverly Hills, CA 90211-2246
Phone (323) 988-0896

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95000016CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Apr 1, 2018 Accepting new patients
Tiger Valley Medical Group, Inc CurrentSince Oct 1, 2018 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Oct 2, 2016 Accepting new patients
Brookside Anesthesia Group CurrentSince Sep 19, 2016 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Apr 1, 2018 Accepting new patients

Locations

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1711 W Temple St
Los Angeles, CA 90026
Phone (213) 989-6100

8436 W 3rd St
Ste 700
Los Angeles, CA 90048
Phone (310) 274-8228

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1639506322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 SHERMAN WAY UNIT 101",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914063556",
            "telephone_number": "818-585-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "LA USC COUNTY MEDICAL CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYUKOVA",
        "first_name": "ALLA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "564226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLA",
            "last_name": "MILSHTEYN",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.