Active NPI
Khayznikov MD Inc
- Internal Medicine Physician
- Sacramento, CA
National Provider Identifier
1972346278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KHAYZNIKOV MD INC
- Practice address
- 2108 N St # 7607
Sacramento, CA 95816-5712 - Phone
- (818) 403-4651
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maksim Yuryevich Khayznikov, MD
- Title
- Owner
- Phone
- (818) 406-4651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2108 N St # 7607
Sacramento, CA 95816-5712
Mailing address
2108 N St # 7607
Sacramento, CA 95816-5712
Phone (818) 403-4651
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1972346278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST # 7607",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "818-403-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 N ST # 7607",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "818-403-4651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAYZNIKOV MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "KHAYZNIKOV",
"authorized_official_first_name": "MAKSIM",
"authorized_official_middle_name": "YURYEVICH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-406-4651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.