ALEKSANDR YERMAKOV
NPI 1063223873
Nurse Practitioner in La Jolla, CA
About Aleksandr Yermakov NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEKSANDR YERMAKOV (NPI 1063223873) is an individual nurse practitioner in La Jolla, California, licensed in California (95033355) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aleksandr Yermakov is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Aleksandr Yermakov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aleksandr Yermakov's NPI number?
The NPI number for Aleksandr Yermakov is 1063223873. It was assigned to this individual provider in the NPPES registry on January 20, 2025.
Where is Aleksandr Yermakov located?
Aleksandr Yermakov practices at 9888 Genesee Ave, La Jolla, CA 92037. The listed phone number is (619) 301-8026.
What is Aleksandr Yermakov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Aleksandr Yermakov enrolled in Medicare?
Yes. Aleksandr Yermakov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Aleksandr Yermakov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aleksandr Yermakov reassigns Medicare benefits to 3 organizations: Zachary C Cohen MD Apc (San Diego, CA), Molina Healthcare Of California (Long Beach, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aleksandr Yermakov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Aleksandr Yermakov was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Aleksandr Yermakov · NPI 1063223873
Nurse Practitioner physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since January 20, 2025.
## Identity
- **NPI:** 1063223873 (Entity type: Individual)
- **Enumerated:** January 20, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95033355 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9888 GENESEE AVE, La Jolla, CA 92037-1205
- **Phone:** (619) 301-8026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Zachary C Cohen MD Apc (NPI 1689334468, San Diego, CA); Molina Healthcare Of California (NPI 1194811760, Long Beach, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063223873) · Data from the CMS NPPES public registry.