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

Individual provider Psychiatry Physician · NPI 1871054999

Dr. Ivan Krasnov, MD is a Psychiatry Physician in Santa Monica, California. Works from 2 locations. Licensed in California and Pennsylvania.

Licensed in
CA, PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

127 Broadway Ste 100
Santa Monica, CA 90401-2389
Phone: (215) 955-8420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 833 Chestnut St, Philadelphia, PA 19107-4414 — (215) 955-8420

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A198433 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD479185 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871054999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

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