Individual provider Active NPI

Alexander Korchmarev, M.D.

  • Psychiatry Physician
  • Sherman Oaks, CA
National Provider Identifier
1821029042
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A66569 Issued in CA
Practice address
13245 Riverside Dr
Ste 507
Sherman Oaks, CA 91423-5625
Phone
(818) 788-7580
Fax
(818) 788-7540
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A66569 CA Primary
Specialist 174400000X A66569 CA

Addresses

Primary practice location

13245 Riverside Dr
Ste 507
Sherman Oaks, CA 91423-5625

Mailing address

4227 Sepulveda Blvd
Sherman Oaks, CA 91403
Phone (818) 501-8978

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
I20120209000362 CA Practitioner - Psychiatry 0941467526 Practice locations: Sherman Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13701 Riverside Dr
Sherman Oaks, CA 91423-2449
Phone (818) 788-7580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66569CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Schirch Medical Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1821029042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 SEPULVEDA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-501-8978",
            "fax_number": "818-906-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 RIVERSIDE DR",
            "address_2": "STE 507",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235625",
            "telephone_number": "818-788-7580",
            "fax_number": "818-788-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORCHMAREV",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A66569",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.