Oleg Yuryevich Sorokoumov, MD | |
5555 Grossmont Center Dr, Sharp Grossmont Hospital, La Mesa, CA 91942 | |
(858) 248-3634 | |
Not Available |
Full Name | Oleg Yuryevich Sorokoumov |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 27 Years |
Location | 5555 Grossmont Center Dr, La Mesa, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306870548 | NPI | - | NPPES |
FY773 | Other | CA | MEDICARE |
1306870548 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 48325 (Wisconsin) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | C55036 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grossmont Hospital | La mesa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Diego Critical Care Medical Group Inc | 7911083886 | 37 |
Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | San Diego Critical Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915990 PECOS PAC ID: 7911083886 Enrollment ID: O20090108000551 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Entity Name | 24 On Physicians Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730570565 PECOS PAC ID: 7012228992 Enrollment ID: O20150618001426 |
Mailing Address | Practice Location Address |
---|---|
Oleg Yuryevich Sorokoumov, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (858) 248-3634 | Oleg Yuryevich Sorokoumov, MD 5555 Grossmont Center Dr, Sharp Grossmont Hospital, La Mesa, CA 91942 Ph: (858) 248-3634 |
Alborz Hassankhani, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481 | |
Paul Y Abou, MD Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711 | |
Rosemary Ting Tu, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311 | |
Dr. Lloyd Stuart Kuritsky, D.O. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864 | |
Purushotham Kotha, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995 | |
Dr. Leila Sofia Bolandgray, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916 | |
Michael H Michalski, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5358 Jackson Dr, Suite 1, La Mesa, CA 91942 Phone: 619-667-7072 Fax: 619-667-7064 |