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

Sergey Vladimirovich Ivanov, DO

Individual provider Family Medicine Physician · NPI 1679013833

Sergey Vladimirovich Ivanov, DO is a Family Medicine Physician in Oceanside, California. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2017
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

200 Mercy Cir
Oceanside, CA 92055
Phone: (760) 725-1288
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02005547A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679013833
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 6, 2017
Last updated in NPPESJune 14, 2024
Certification dateJune 7, 2024
Mailing address200 Mercy Circle, Oceanside, CA 92055-1006

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