Individual provider Active NPI

Alla Maksimova, NP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1912462961
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
591832 Issued in CA
Practice address
8920 Wilshire Blvd Ste 520
Beverly Hills, CA 90211-1949
Phone
(310) 423-2880
Fax
(310) 423-2887
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 591832 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 520
Beverly Hills, CA 90211-1949

Mailing address

3918 Oakfield Dr
Sherman Oaks, CA 91423-4400
Phone (818) 789-3578

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905001907 CA Practitioner - Nurse Practitioner 4981067279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ilya M Rachman MD IncGroup PAC ID 8628056728, 3 clinicians

Practice addresses (Care Compare)

7601 Canby Ave
Suite 7
Reseda, CA 91335-2974
Phone (818) 757-1919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ilya M Rachman MD Inc CurrentSince Jul 15, 2023 Accepting new patients

Locations

7601 Canby Ave
Ste 7
Reseda, CA 91335
Phone (818) 692-7595

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1912462961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 OAKFIELD DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234400",
            "telephone_number": "818-789-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 520",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111949",
            "telephone_number": "310-423-2880",
            "fax_number": "310-423-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSIMOVA",
        "first_name": "ALLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "591832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.