DR. IRINA BAZAROV D.P.M.
NPI 1518301688
Podiatrist - Foot & Ankle Surgery in San Jose, CA

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment
751 S BASCOM AVE, BLDG Q, SAN JOSE, CA 95128(408) 885-7821 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2022, Apr 10, 2017 (2 updates tracked since 2017).

About Dr. Irina Bazarov D.p.m. NPPES

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

DR. IRINA BAZAROV D.P.M. (NPI 1518301688) is an individual foot & ankle surgery provider in San Jose, California, licensed in California (E5286) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1518301688
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. IRINA BAZAROVCredential: D.P.M.
Location Address751 S BASCOM AVE, BLDG QSan Jose, CA 95128-2604
Mailing Address751 S Bascom Ave, Bldg QSan Jose, CA 95128-2604 · (408) 885-7821
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 19, 2013
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPI 1518301688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E5286
751 S BASCOM AVE, San Jose, CA 95128

Other Names 1

Other Name (5)Irina Korobochkina

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

Dr. Irina Bazarov D.p.m. 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 ID1951699131
PECOS Enrollment IDI20161004002842
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 20

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

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

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 Irina Bazarov's NPI number?

The NPI number for Irina Bazarov is 1518301688. It was assigned to this individual provider in the NPPES registry on April 19, 2013. The provider is also known as Irina Korobochkina.

Where is Irina Bazarov located?

Irina Bazarov practices at 751 S Bascom Ave Bldg Q, San Jose, CA 95128. The listed phone number is (408) 885-7821.

What is Irina Bazarov's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Irina Bazarov enrolled in Medicare?

Yes. Irina Bazarov 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 Irina Bazarov was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.