Aleksandr Yermakov

Nurse Practitioner · La Jolla, CA

Individual Active NPI

NPI number 1063223873

Practice location

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone
(619) 301-8026

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NPI record

NPI
1063223873
Entity type
Individual (Type 1)
Enumeration date
January 20, 2025
Last updated
January 20, 2025
Certified
January 20, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 95033355 CA

Mailing address

3535 Caminito El Rincon Unit 268
San Diego, CA 92130-3519
Phone
(619) 301-8026

About Aleksandr Yermakov

Aleksandr Yermakov is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 9888 Genesee Ave, La Jolla, CA 92037-1205. The NPI number 1063223873 was assigned on January 20, 2025 and the record was last updated on January 20, 2025.

Aleksandr Yermakov lists a license in the registry: #95033355 (CA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Aleksandr Yermakov?

The NPI number is 1063223873.

What is the phone number of Aleksandr Yermakov?

The phone number listed for the practice location is (619) 301-8026.

Where is Aleksandr Yermakov located?

9888 Genesee Ave, La Jolla, CA 92037-1205.

What is the taxonomy code for Aleksandr Yermakov?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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