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

Dr. Elvis Chernyshov

Individual provider Internal Medicine Physician · NPI 1154797462

Dr. Elvis Chernyshov is an Internal Medicine in Wildomar, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

36243 Inland Valley Dr Ste 160
Wildomar, CA 92595-9548
Phone: (951) 698-8821
Fax: (951) 677-3975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1278 E Latham Ave, Hemet, CA 92543-4445 — (951) 925-6625
  • 355 Grand St, Jersey City, NJ 07302-4321 — (201) 915-2000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 155445 (CA)

Record details

NPI number1154797462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2015
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wildomar