Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aleksandr Yermakov

Individual provider Nurse Practitioner · NPI 1063223873

Aleksandr Yermakov is a Nurse Practitioner in LA Jolla, California. Qualified in 2024, 2 years ago. Practices with Zachary C Cohen MD APC, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025

Practice location Address checks out

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (619) 301-8026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95033355 (CA)

Record details

NPI number1063223873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address3535 Caminito El Rincon Unit 268, San Diego, CA 92130-3519

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Zachary C Cohen Md Apc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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