Individual provider Active NPI

Sergey Akopov, M.D.

  • Neurology Physician
  • Burbank, CA
National Provider Identifier
1669566147
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A72794 Issued in CA
Practice address
501 S Buena Vista St
1 North Outpatient Neuro Clinic
Burbank, CA 91505-4809
Phone
(818) 847-4622
NPI assigned
Oct 2, 2006
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A72794 CA
Neurology Physician 2084N0400X A72794 CA Primary

Addresses

Primary practice location

501 S Buena Vista St
1 North Outpatient Neuro Clinic
Burbank, CA 91505-4809

Mailing address

PO Box 27206
Los Angeles, CA 90027
Phone (213) 385-0675

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sakopov390041@oc.providencedirect.org

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
I20040420001790 CA Practitioner - Neurology 2264428929 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

Glendale, CA 91206

1880 Maginn Dr
Glendale, CA 91202-1124

3121 Chadney Dr
Glendale, CA 91206-1004

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-4622

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Neurology PC Neurology CurrentSince Jul 1, 2017 Accepting new patients
Providence Medical Institute CurrentSince Jul 15, 2018 Accepting new patients
Providence Health & Services - Washington CurrentSince Dec 30, 2019 Accepting new patients
Providence Health & Services- Washington CurrentSince Dec 30, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 13, 2019 Accepting new patients
Providence Medical Institute CurrentSince Jul 15, 2018 Accepting new patients
Providence Health & Services Mt CurrentSince Dec 30, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 13, 2019 Accepting new patients
Providence Health & Services Washington CurrentSince Dec 30, 2019 Accepting new patients
Sergey E. Akopov, M.D., Inc. Neurology CurrentSince Jun 28, 2005 Accepting new patients
Cep America - Neurology PC Neurology Current Accepting new patients
Providence Health & Services Washington CurrentSince Dec 30, 2019 Accepting new patients
Providence Medical Institute Current Accepting new patients
Cep America - Neurology PC Neurology CurrentSince Jul 1, 2017 Accepting new patients
Providence Health & Services- Washington CurrentSince Dec 30, 2019 Accepting new patients
Swedish Health Services Neurological Surgery CurrentSince Dec 23, 2022 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

501 S Buena Vista St
#1N
Burbank, CA 91505
Phone (818) 238-0001

501 S Buena Vista St
#1
Burbank, CA 91505
Phone (818) 847-4145

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4445 Magnolia Ave
#1112
Riverside, CA 92501

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

4201 Torrance Blvd
Ste 260
Torrance, CA 90503
Phone (310) 540-3610

3524 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 316-2055

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sakopov390041@oc.providencedirect.org
  • Direct secure messaging: sakopov390001@wm.providencedirect.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1669566147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST",
            "address_2": "1 NORTH OUTPATIENT NEURO CLINIC",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-847-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOPOV",
        "first_name": "SERGEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A72794",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A72794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sakopov390041@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "501 S Buena Vista St",
            "address_2": "1 North Outpatient Neuro Clinic",
            "city": "BURBANK",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.