Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID IVANOV
NPI 1356962781
Orthopaedic Surgery - Orthopaedic Trauma in Roseville, CA

Q: What is David Ivanov's NPI number?

The NPI number for David Ivanov is 1356962781. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Q: What is David Ivanov's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for David Ivanov was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since April 27, 2020PECOS Enrolled

1451 SECRET RAVINE PKWY STE 150, ROSEVILLE, CA 95661(916) 536-9455 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About David Ivanov NPPES

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

DAVID IVANOV (NPI 1356962781) is an individual orthopaedic trauma provider in Roseville, California, licensed in California (A187113) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356962781

Entity TypeIndividualMale

Primary Taxonomy207XX0801X

Provider Legal NameDAVID IVANOV

Location Address1451 SECRET RAVINE PKWY STE 150Roseville, CA 95661-6052

Mailing Address1451 Secret Ravine Pkwy Ste 150Roseville, CA 95661-6052 · (916) 536-9455

Phone(916) 536-9455

Sole ProprietorNo

Enumeration DateApril 27, 2020

Last NPPES UpdateOctober 23, 2026

NPPES CertifiedOctober 23, 2026

✔ NPI 1356962781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

License✔ Licensed in CA · A187113

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

1451 SECRET RAVINE PKWY STE 150, Roseville, CA 95661

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Ivanov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN VITALI, M.D., A PROFESSIONAL CORPORATION

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

1451 SECRET RAVINE PKWY STE 150
ROSEVILLE, CA 95661

Placer County (310) 613-5994

DR. RYAN S VITALI M.D.

Orthopaedic Surgery

1451 SECRET RAVINE PKWY STE 150
ROSEVILLE, CA 95661

Placer County (916) 472-6566

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 David Ivanov's NPI number?

The NPI number for David Ivanov is 1356962781. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is David Ivanov located?

David Ivanov practices at 1451 Secret Ravine Pkwy Ste 150, Roseville, CA 95661. The listed phone number is (916) 536-9455.

What is David Ivanov's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is David Ivanov enrolled in Medicare?

Yes. David Ivanov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Ivanov was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.