VLADISLAV DAVID AVETISOV DPT
NPI 1891570750
Physical Medicine & Rehabilitation in Monterey, CA
About Vladislav David Avetisov Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VLADISLAV DAVID AVETISOV DPT (NPI 1891570750) is an individual physical medicine & rehabilitation provider in Monterey, California, licensed in California (304751) and active in the NPI registry since August 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vladislav David Avetisov Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Vladislav Avetisov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, NJ 08701
- Reassigned Medicare billing, California enrollment
- 190 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTEREY, CA 93940
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 Vladislav Avetisov's NPI number?
The NPI number for Vladislav Avetisov is 1891570750. It was assigned to this individual provider in the NPPES registry on August 29, 2023.
Where is Vladislav Avetisov located?
Vladislav Avetisov practices at 1501 Skyline Dr, Monterey, CA 93940. The listed phone number is (831) 373-3716.
What is Vladislav Avetisov's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Vladislav Avetisov enrolled in Medicare?
Yes. Vladislav Avetisov is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Vladislav Avetisov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vladislav Avetisov reassigns Medicare benefits to Sand Coast Rehab Physical Therapy Inc (Lakewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vladislav Avetisov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vladislav Avetisov was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.