Individual provider Active NPI

Irina A Urusova, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Angeles, CA
National Provider Identifier
1679581565
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A67479 Issued in CA
Practice address
6221 Wilshire Blvd Ste 220
Los Angeles, CA 90048-5226
Phone
(323) 954-9369
Fax
(323) 954-1160
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A67479 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd Ste 220
Los Angeles, CA 90048-5226

Mailing address

6221 Wilshire Blvd Ste 220
Los Angeles, CA 90048-5226
Phone (323) 823-3924

Other identifiers 1

IdentifierTypeStateIssuer
00A674790MedicaidCA

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
I20040609001039 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 8921081142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6221 Wilshire Blvd
Suite 220
Los Angeles, CA 90048-5226
Phone (323) 954-9369

Hospital & facility affiliations

  • XL Care, Inc Home health agency, Woodland Hills, CA, CCN 058236
  • Helping Hands Home Health Best Care, Inc Home health agency, Van Nuys, CA, CCN 559792
  • Pinnacle Home Health Care, Inc Home health agency, Burbank, CA, CCN 559073
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67479CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irina a Urusova MD Inc CurrentSince Feb 1, 2007 Accepting new patients
Cedars-Sinai Medical Center PastSince Aug 4, 2024 Accepting new patients

Locations

5901 W Olympic Blvd
Ste 207
Los Angeles, CA 90036
Phone (323) 823-3924

6221 Wilshire Blvd
Ste 220
Los Angeles, CA 90048
Phone (323) 823-3924

Organizations & group practices 2

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.

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1679581565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485226",
            "telephone_number": "323-823-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485226",
            "telephone_number": "323-954-9369",
            "fax_number": "323-954-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URUSOVA",
        "first_name": "IRINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A67479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.