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

Dr. Vadim Avulov, DO

Individual provider Surgery Physician · NPI 1700121472

Dr. Vadim Avulov, DO is a General Surgery in San Diego, California. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2007, 19 years ago. Practices with Emergency and Acute Care Medical Corporation, a 439-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
CA
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6699 Alvarado Rd Ste 2309
San Diego, CA 92120-5241
Phone: (619) 396-6637
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20A13344 (CA)

Record details

NPI number1700121472
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 6, 2012
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address7905 Tommy Dr, San Diego, CA 92119-1833

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2007 (19 years in practice)
Group practice Emergency And Acute Care Medical Corporation — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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