Individual provider Active NPI

Alexander Izmailov, M.D.

  • Cardiovascular Disease Physician
  • Salinas, CA
National Provider Identifier
1740421973
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A106955 Issued in CA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20130124000414 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800040908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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

LicenseStateTypeSpecialty
A106955CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Nov 1, 2017 Accepting new patients
County of Monterey CurrentSince Nov 1, 2017 Accepting new patients
Montage Medical Group CurrentSince Sep 1, 2013 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.