ANDREI IVANOVICH KONONOVICH RN
NPI 1215556725
Registered Nurse - Medical-Surgical in Placerville, CA

Active since April 14, 2020
1100 MARSHALL WAY, PLACERVILLE, CA 95667(530) 622-1441 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrei Ivanovich Kononovich Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREI IVANOVICH KONONOVICH RN (NPI 1215556725) is an individual medical-surgical provider in Placerville, California, licensed in California (95186212) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1215556725
Entity TypeIndividualMale
Primary Taxonomy163WM0705X
Provider Legal NameANDREI IVANOVICH KONONOVICHCredential: RN
Location Address1100 MARSHALL WAYPlacerville, CA 95667-6533
Mailing Address2301 Ficus CirEl Dorado Hls, CA 95762-6812
Sole ProprietorNo
Enumeration DateApril 14, 2020
NPPES CertifiedApril 14, 2020
NPI 1215556725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License Licensed in CA · 95186212
1100 MARSHALL WAY, Placerville, CA 95667

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.

Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Hospitalist
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Radiology (Diagnostic Radiology)
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667

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 Andrei Kononovich's NPI number?

The NPI number for Andrei Kononovich is 1215556725. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Andrei Kononovich located?

Andrei Kononovich practices at 1100 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 622-1441.

What is Andrei Kononovich's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Andrei Kononovich was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.