SERGUEI IVANOVICH BANNYKH (NPI# 1053392365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053392365 |
| Entity Type | Individual |
| Full Name | SERGUEI IVANOVICH BANNYKH |
| Credential | MD |
| Practice Address |
8700 Beverly Blvd Suite 8730 Los Angeles CA 90048 |
| Practice Telephone | 3104233562 |
| Practice Fax Number | 3104230122 |
| Mailing Telephone | 3104233562 |
| Mailing Fax Number | 3104230122 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZN0500X |
Pathology Specialization: Neuropathology |
040897 | CT | Allopathic & Osteopathic Physicians |
| X | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
A72353 | CA | Allopathic & Osteopathic Physicians |
| X | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
040897 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
8700 BEVERLY BLVD SUITE 8730 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018721 | Kathryn Reyes | Genetic Counselor, MS | 8700 Beverly Blvd, Ste. Ac1326, Los Angeles, CA 90048 | 2020-09-17 |
| 1619590585 | Kyohei Itamura | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Department of Surgery, 8215nt, Los Angeles, CA 90048 | 2020-05-26 |
| 1609496983 | Audrey Masako Hagiwara | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-16 |
| 1598384679 | Clarissa Anne Niino | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 3636, Los Angeles, CA 90048 | 2020-04-09 |
| 1356970883 | Marissa Fox | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-06 |
| 1417586082 | Janice Oh | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-06 |
| 1952930513 | Zev Aaron Allison | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Los Angeles, CA 90048 | 2020-04-06 |
| 1902435670 | Jason Yang Gao | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-05 |
| 1952935090 | Dawn Katherine Robertson | Social Worker | 8700 Beverly Blvd, Becker Building Suite 224, Los Angeles, CA 90048 | 2020-02-27 |
| 1477109668 | Lauren Wisdom | Nurse Practitioner | 8700 Beverly Blvd, Los Angeles, CA 90048 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247057 | Shino Magaki | Pathology | 10833 Le Conte Ave Rm 13-145, Los Angeles, CA 90095-2804 | 2011-04-16 |
| 1841844149 | Zesheng Chen | Pathology | 760 Westwood Plz, Los Angeles, CA 90024-5055 | 2019-07-25 |
| 1184069825 | Anna John Mathew | Pathology | 1450 San Pablo Street, 2nd Floor Lab, Los Angeles, CA 90033-4500 | 2013-05-08 |
| 1376784678 | Negar Khanlou | Pathology | 10833 Leconte Ave, Box 951732, A7-149 Chs Box 116, Los Angeles, CA 90095-0001 | 2009-03-16 |
| 1568491256 | Harry V Vinters | Pathology | 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095-3075 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967063 | Healthy Mind & Braiin Center | Pathology | 27448 Outrigger Lane, Helendale, CA 92342 | 2020-03-13 |
| 1659857753 | Romain Cayrol | Pathology | 300 Pasteur Dr # R-241, Stanford, CA 94305-2200 | 2018-07-12 |
| 1295053718 | Jennifer Ziskin | Pathology | 901 Marshall St Bldg 4th, Redwood City, CA 94063-2026 | 2010-05-07 |
| 1023330099 | Meredith Halks Miller | Pathology | 800 Saginaw Dr, Redwood City, CA 94063-4740 | 2010-02-18 |
| 1740519529 | Byung H. Choi | Pathology | 49 Mirador, Irvine, CA 92612-2979 | 2009-12-08 |
| 1295778348 | Henry C Powell | Pathology | 200 West Arbor Drive, Mc 8320, Ucsd Deparment of Pathology, San Diego, CA 92103 | 2006-06-14 |
| 1518401660 | Lea Tenenholz Grinberg-korczyn | Pathology | 675 Nelson Rising Ln, Room 211b, San Francisco, CA 94143-0003 | 2016-12-08 |
| 1548620404 | Mari Perez-rosendahl | Pathology | 101 The City Dr S, Building 1, 3rd Floor, Orange, CA 92868 | 2016-03-03 |
| 1518352640 | Jonathan Lynn Lavezo | Pathology | 300 Pasteur Dr, Department of Pathology, L235, Stanford, CA 94305-2200 | 2015-04-06 |
| 1295171908 | Peyman Zaman Samghabadi | Pathology | 300 Pasteur Dr, Lane Blvd L235, Palo Alto, CA 94305 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.