| Igor Krivitskiy, | |
|
4445 Magnolia Ave, Riverside, CA 92501 | |
| (951) 788-3000 | |
| Not Available |
| Full Name | Igor Krivitskiy |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4445 Magnolia Ave, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366947095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 165883 (California) | Secondary |
| 207P00000X | Emergency Medicine | T1989 (Texas) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Emergency Services Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932131 PECOS PAC ID: 7517289291 Enrollment ID: O20141208002099 |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Krivitskiy, 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: () - | Igor Krivitskiy, 4445 Magnolia Ave, Riverside, CA 92501 Ph: (951) 788-3000 |
Rushil Anil Patel, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3000 | |
Dr. Chad Leroy Clark, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3865 Jackson St, Riverside, CA 92503 Phone: 951-352-5666 Fax: 951-352-5445 | |
Dr. David Stuart Siegel, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 3425 Torrey St, Riverside, CA 92503 Phone: 561-685-6148 | |
Doug John Williamson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Kenneth Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3537 Fax: 951-788-3173 | |
Dr. Ernest Woodhouse, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 Magnolia Ave., Riverside, CA 92501 Phone: 951-788-3200 | |
Dr. Michael Kang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-684-3910 |