Sergey Ivanov, D.O.
NPI 1679013833 · Family Medicine Physician · Oceanside, CA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sergey Ivanov, D.O. is a Family Medicine Physician provider in Oceanside, CA (NPI 1679013833).
Provider details
- NPI number
- 1679013833
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02005547A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2024-06-14
- Certified
- 2024-06-07
Frequently asked questions
- What is Sergey Ivanov's NPI number?
- Sergey Ivanov's National Provider Identifier (NPI) is 1679013833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sergey Ivanov's specialty?
- Sergey Ivanov is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sergey Ivanov located?
- Sergey Ivanov's practice location on file with NPPES is 200 Mercy Circle, Oceanside, CA 92055.
- What is Sergey Ivanov's phone number?
- The practice phone number listed in the NPPES registry for Sergey Ivanov is (760) 725-1288.
- Does Sergey Ivanov accept Medicare?
- Sergey Ivanov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sergey Ivanov's NPI active?
- Yes — Sergey Ivanov's NPI (1679013833) is active in the NPPES registry as of the last update on 2024-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.