Organization Active NPI

Svetlana Kruglyakov, MD Inc

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1720726623
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SVETLANA KRUGLYAKOV, MD INC
Practice address
5901 W Olympic Blvd Ste 503B
Los Angeles, CA 90036-4679
Phone
(323) 456-0500
Fax
(323) 456-0500
NPI assigned
May 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Authorized official

Name
Svetlana Kruglyakov, MDNPI 1124107149
Title
President
Phone
(310) 993-0882

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 503B
Los Angeles, CA 90036-4679

Mailing address

5901 W Olympic Blvd Ste 503B
Los Angeles, CA 90036-4679
Phone (323) 456-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1720726623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 503B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364679",
            "telephone_number": "323-456-0500",
            "fax_number": "323-456-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 503B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364679",
            "telephone_number": "323-456-0500",
            "fax_number": "323-456-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVETLANA KRUGLYAKOV, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "KRUGLYAKOV",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-993-0882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 22, 2022; 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.