Dr. Irina A Vasilyeva
Radiology (Diagnostic Radiology)

Address: 1001 Potrero Ave, Rm 1x55, San Francisco, CA 94110-3518
Phone: 4152065871

Dr. Irina A Vasilyeva (NPI# 1417999038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1417999038
Entity Type Individual
Full Name Dr. Irina A Vasilyeva
Credential MD PHD
Gender Female
Practice Address 1001 Potrero Ave
Rm 1x55
San Francisco
CA 94110-3518
Practice Telephone 4152065871
Practice Fax Number 4152064004
Mailing Address 250 Gorge Rd #8c
Cliffside Park
NJ 07010
Mailing Telephone 2017248178
Mailing Fax Number 2019173447
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-11
Last Update Date 2017-09-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 245445 NY

Other Provider Identifier

State Identifier Issuer Type Code
CA 00A925040 MEDICAID

Physician Overview

NPI 1417999038
PAC ID by PECOS 6406871581
Professional Enrollment ID I20080229000391
Full Name Irina A Vasilyeva
Organization Legal Name DOWNTOWN BRONX MEDICAL ASSOCIATES PC
Phone Number 7185796200
Gender F
Credential MD
Graduation Year 1981
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 9638082746
Number of Group Practice Members 253
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 1001 POTRERO AVE
RM 1X55
City SAN FRANCISCO
State CA
Zip Code 94110-3518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598769002 Neda Ratanawongsa Internal Medicine 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518 2005-06-13
1164990677 Anna Pasternak Nurse Practitioner 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-11-02
1346724317 Erin Donohoe Orthopaedic Surgery 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-09-17
1861974214 Chinaemerem Nwaokoro Registered Nurse 1001 Potrero Ave, San Francisco, CA 94110 2018-09-02
1033691480 Joseph Jack Rose Registered Nurse 1001 Potrero Ave, San Francisco, CA 94110 2018-09-02
1235619685 Shannon Tam Registered Nurse 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-08-15
1598241101 Angela Jeanine Johnson Student in an Organized Health Care Education/Training Program 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-07-17
1962988105 Lesther Anthony Papa Student in an Organized Health Care Education/Training Program 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-07-11
1639665128 Sharon Minyong Kim Student in an Organized Health Care Education/Training Program 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-07-08
1093201857 Claudia Karina Castellanos-hudgins Student in an Organized Health Care Education/Training Program 1001 Potrero Ave, San Francisco, CA 94110-3518 2018-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427523083 John Pier Shaw Counselor 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1639688823 Rashid Belkheiri Community Health Worker 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 2017-09-20
1982128203 Catherine Anicama Counselor 1001 Potrero Street, 6b, San Francisco, CA 94110 2017-07-28
1780107425 Allison Kimberley Tucker Orthopaedic Surgery 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 2017-07-25
1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
1770012981 Cardiogram, Inc. Physiological Laboratory 375 Alabama St Ste 350, San Francisco, CA 94110 2017-06-09
1124561535 Lauren Henderson Counselor 2703 Bryant St, San Francisco, CA 94110 2016-12-02
1851843072 Rebecca Cook Specialist 1001 Potrero Ave., Box 0852, San Francisco, CA 94110 2016-11-04
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861995425 Solano Diagnostics Partners, A Calif Limited Partnership Radiology 871 Lawton St, San Francisco, CA 94122-3541 2018-03-09
1144759697 Iv Radiology Medical Group Radiology 1200 4th St Apt 426, San Francisco, CA 94158-2440 2017-06-08
1487108403 Stockdale Radiology Physician Services, Inc Radiology 1020 Francisco St, San Francisco, CA 94109-1127 2016-08-08
1700261765 Riverside Radiology Medical Group, Inc. Radiology 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 2015-07-20
1588001838 Eric Flagg Radiology 505 Parnassus Ave Rm M-396, San Francisco, CA 94143-2204 2013-05-28
1992052617 Anto Sedlic Radiology 165 Johnstone Dr, 304, San Francisco, CA 94131-1192 2012-08-13
1659631547 Michelle Tsang Mui Chung Radiology 513 Parnassus Ave Rm S-257, San Francisco, CA 94143-2205 2012-05-24
1962769620 Tatiana Kelil Radiology 1600 Divisadero St Rm 4-2906, San Francisco, CA 94143-3010 2012-04-19
1083980163 Lin Hsu Bailey Radiology 1243 De Haro St, San Francisco, CA 94107-3236 2012-03-22
1538447883 Wesley Chan Radiology 3135 Pacific Ave, Apt #3, San Francisco, CA 94115-1033 2011-08-03
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

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.

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