Lipov Medical Group of Ca PC · Psychiatry Physician

12381 Wilshire Blvd Ste 205, Los Angeles, CA 90025-1063

Overview

Lipov Medical Group of Ca PC is a Psychiatry Physician (organization) practicing in Los Angeles, California. The National Provider Identifier (NPI) is #1497635221, which was assigned on September 3, 2025, and the registration record was last updated on September 3, 2025. The practitioner's main practice location is at 12381 Wilshire Blvd Ste 205, Los Angeles, CA 90025-1063; the contact telephone number is 8555192122. The primary taxonomy of Lipov Medical Group of Ca PC is Psychiatry Physician (2084P0800X), with specialization in Psychiatry. The authorized official for Lipov Medical Group of Ca PC is Mr. Eugene Lipov (Owner).

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Provider Information

NPI 1497635221
Entity Type Organization
Organization Name LIPOV MEDICAL GROUP OF CA PC
Provider Name LIPOV MEDICAL GROUP OF CA PC
Practice Address 12381 Wilshire Blvd Ste 205
Los Angeles
CA 90025-1063
Practice Telephone 8555192122
Mailing Address 1 E Oakhill Dr Ste 100
Westmont
IL 60559-5540
Mailing Telephone 8555192122
Certification Date 2025-09-03
Enumeration Date 2025-09-03
Last Update Date 2025-09-03
Is Organization Subpart N

Authorized Official Information

Official Name MR. EUGENE LIPOV
Official Title OWNER
Credential MD
Telephone 3126180829

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207L00000XAnesthesiology193200000X MULTI-SPECIALTY GROUP
Y2084P0800XPsychiatry & NeurologyPsychiatry193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 2084P0800X
Taxonomy Psychiatry Physician
Classification Psychiatry & Neurology
Specialization Psychiatry
Grouping Allopathic & Osteopathic Physicians
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Other Taxonomy

Code 207L00000X
Taxonomy Anesthesiology Physician
Classification Anesthesiology
Grouping Allopathic & Osteopathic Physicians
Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

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Location Information

Street Address 12381 WILSHIRE BLVD STE 205
City LOS ANGELES
State CA
Zip Code 90025-1063
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Patrick Wester 12381 Wilshire Blvd Ste 205, Los Angeles, CA 90025-1063Psychiatric/Mental Health Nurse Practitioner2023-06-22

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Provider NameAddressTaxonomyEnumeration Date
Heaven On Earth Acupuncture, Professional Cooperation 12381 Wilshire Blvd Ste 204, Los Angeles, CA 90025-1063Acupuncturist2024-12-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
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Alison Kung 12424 Wilshire Blvd, Los Angeles, CA 90025-1052Physical Therapist2023-06-22
Elizabeth Anne Schwartz 12301 Wilshire Blvd Ste 600, Los Angeles, CA 90025-1021Registered Nurse2025-03-31
Sunha Lee · Adrianne Lee-Rodriguez 12301 Wilshire Blvd Ste 100, Los Angeles, CA 90025-1000Student in an Organized Health Care Education/Training Program2020-03-26
Laurent Wagner 12301 Wilshire Blvd Ste 315, Los Angeles, CA 90025-1053Infusion Therapy Registered Nurse2025-09-04
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.