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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609368935

Sergii Khodakivskyi, MD is an Internal Medicine in Palm Springs, California. Qualified in 1998, 28 years ago. Practices with Fountain Valley Group Services PC, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2018
Specialties on file
2
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

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone: (951) 764-2863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A174583 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609368935
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2018
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Fountain Valley Group Services Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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