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SERGEY VLADIMIROVICH IVANOV D.O.
NPI 1679013833
Family Medicine in Oceanside, CA

Active since March 06, 2017PECOS Enrolled
200 MERCY CIRCLE, OCEANSIDE, CA 92055(760) 725-1288 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2024, Jun 6, 2024, Sep 9, 2022 and 1 more (4 updates tracked since 2017).

About Sergey Vladimirovich Ivanov D.o. NPPES

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

SERGEY VLADIMIROVICH IVANOV D.O. (NPI 1679013833) is an individual family medicine provider in Oceanside, California, licensed in Indiana (02005547A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679013833
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSERGEY VLADIMIROVICH IVANOVCredential: D.O.
Location Address200 MERCY CIRCLEOceanside, CA 92055
Mailing Address200 Mercy CircleOceanside, CA 92055-1006 · (760) 725-1288
Phone(760) 725-1288
Sole ProprietorYes
Enumeration DateMarch 6, 2017
Last NPPES UpdateJune 14, 20244 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1679013833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02005547A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MERCY CIRCLE, Oceanside, CA 92055
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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)

Sergey Vladimirovich Ivanov D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92055 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.

MARIA J HERRERA PH.D.
Psychologist (Clinical)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (510) 542-0859
SHERRI MARTINEZ LMFT, ADCII
Counselor (Addiction (Substance Use Disorder))
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-0063
DR. ASHLEY BITTLE LCSW, PSY.D.
Psychologist (Clinical)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3322
CAROLYN STEINLAGE DPT
Physical Therapist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3791
SHANE MCGUIRE FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-8912
MELINDA WEE FAH MARTINEZ PA
Physician Assistant
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-4550
ALEXANDER JEFFREY NELSON PA-C
Physician Assistant
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-1288
ELLA HAHN SCHULTZ DO
Student in an Organized Health Care Education/Training Program
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288

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 Sergey Ivanov's NPI number?

The NPI number for Sergey Ivanov is 1679013833. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Sergey Ivanov located?

Sergey Ivanov practices at 200 Mercy Circle, Oceanside, CA 92055. The listed phone number is (760) 725-1288.

What is Sergey Ivanov's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sergey Ivanov enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sergey Ivanov was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.