Active NPI
Alexander Izmailov, M.D.
- Cardiovascular Disease Physician
- Salinas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A106955
- Practice address
- 1441 Constituition Blvd
BLDG 400, Suite 102
Salinas, CA 93906 - Phone
- (831) 796-1630
- Fax
- (831) 754-1660
- NPI assigned
- Mar 18, 2009
- Last updated
- Jun 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A106955 | CA | Primary |
Addresses
Primary practice location
1441 Constituition Blvd
BLDG 400, Suite 102
Salinas, CA 93906
Mailing address
100 Wilson Rd
100
Monterey, CA 93940-7885
Phone (831) 649-1000
Other names 1
- Aleksander Izmaylovskiy
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of California, Davis School of Medicine, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1441 Constitution Blvd
Salinas, CA 93906-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106955 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| Montage Medical Group | Current | Accepting new patients | |
| County of Monterey | Past | Accepting new patients |
Locations
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296
30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
1441 Constitution Blvd
Ste 102
Salinas, CA 93906
Phone (831) 796-1630
Interoperability endpoints
- aizmailov91140@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Carmel, CA
- NPI 1770710709
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
dba Access to Treatment Pearl St
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
dba Monterey County Health Clinic at Marina
- Family Medicine Physician
- Marina, CA
- NPI 1588617955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1740421973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON RD",
"address_2": "100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407885",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 CONSTITUITION BLVD",
"address_2": "BLDG 400, SUITE 102",
"city": "SALINAS",
"state": "CA",
"postal_code": "93906",
"telephone_number": "831-796-1630",
"fax_number": "831-754-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZMAILOV",
"first_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-18",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A106955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEKSANDER",
"last_name": "IZMAYLOVSKIY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.