Jonathan Kanevsky, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

152520 Issued in CA

Practice address

4644 Lincoln Blvd Ste 552
Marina del Rey, CA 90292-6391

Phone

(514) 458-7548

NPI assigned

Nov 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1902318553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 SPRING VALLEY RD",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105621627",
            "telephone_number": "514-458-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD STE 552",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926391",
            "telephone_number": "514-458-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEVSKY",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "152520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merima-Misirca Jurici, MD
• K&S Therapeutic Services, Inc.
• Eitan Kadosh, LMFT
• Christina Jiyoon Kam, LMFT
• Robin E Kaminsky, MD
• Eunice Kaplan, LCSW
• David Kaplowitz, MD
• Nika Karimi, MD
• Kaster Consultants (Marina Del Rey Pharmacy)
• Peter Katona, M.D.

• Plastic Surgery Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.