Organization Active NPI

Boris Zhalkovsky Medical Corporation

  • Psychiatry Physician
  • San Carlos, CA
National Provider Identifier
1710049655
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BORIS ZHALKOVSKY MEDICAL CORPORATION
Practice address
809 Laurel St Unit 6912
San Carlos, CA 94070-7766
Phone
(650) 219-3600
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Boris Zhalkovsky, MDNPI 1518146489
Title
The President
Phone
(650) 219-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

809 Laurel St Unit 6912
San Carlos, CA 94070-7766

Mailing address

809 Laurel St Unit 6912
San Carlos, CA 94070-7766
Phone (650) 219-3600

Other identifiers 1

IdentifierTypeStateIssuer
00A563750MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001346 CA Part B Supplier - Clinic/Group Practice 9335042100 Receives reassigned benefits from 1 practitioner
Practice locations: San Leandro, CA; San Mateo, CA; Sacramento, CA; Castro Valley, CA

National Provider Directory

National Provider Directory

Locations

3430 Balmoral Dr
Ste 8
Sacramento, CA 95821
Phone (650) 219-3600

809 Laurel St
Unit 6912
San Carlos, CA 94070
Phone (650) 219-3600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710049655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 LAUREL ST UNIT 6912",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940707766",
            "telephone_number": "650-219-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 LAUREL ST UNIT 6912",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940707766",
            "telephone_number": "650-219-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS ZHALKOVSKY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ZHALKOVSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "THE PRESIDENT",
        "authorized_official_telephone_number": "650-219-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A563750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.