ALEKSANDR YERMAKOV
NPI 1063223873
Nurse Practitioner in La Jolla, CA

Active since January 20, 2025PECOS EnrolledAccepts Medicare Assignment
9888 GENESEE AVE, LA JOLLA, CA 92037(619) 301-8026 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1063223873
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALEKSANDR YERMAKOV
Location Address9888 GENESEE AVELa Jolla, CA 92037-1205
Mailing Address3535 Caminito El Rincon Unit 268San Diego, CA 92130-3519 · (619) 301-8026
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1063223873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95033355
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9888 GENESEE AVE, La Jolla, CA 92037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3779008032
PECOS Enrollment IDI20250418001194
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
Clinic/Center (Oncology, Radiation)
9888 GENESEE AVE
LA JOLLA, CA 92037
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
Internal Medicine
9888 GENESEE AVE
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.

When was this NPI record last updated?

The NPPES record for Aleksandr Yermakov was last updated on January 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.