MEDICARE: DR. GENADY SHILYANSKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A40487	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A40487	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1841248564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENADY SHILYANSKY M.D.

Provider Business Mailing Address
First Line	:	17150 NEWHOPE ST
Second Line	:	SUITE 507
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-4250
Country	:	US
Telephone Number	:	714-437-7400
Fax Number	:	714-437-7410

Provider Business Practice Location Address
First Line	:	1250 16TH ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-1249
Country	:	US
Telephone Number	:	714-437-7400
Fax Number	:	714-437-7410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1023313392 — MAUREEN ELIZABETH MCMENAMY N.P.
Practice Location Address:

1250 16TH ST # C2304
SANTA MONICA, CA
90404-1249

Practice Phone: 310-319-4698
Practice Fax: 310-319-4908

1295355816 — DR. TYLER PEMBROKE JACKSON MD
Practice Location Address:

1250 16TH ST STE 2100
SANTA MONICA, CA
90404-1249

Practice Phone: 424-259-6593
Practice Fax:

1568468528 — DR. UMESH THAKURDAS BHAGIA MD
Practice Location Address:

1250 16TH ST
SANTA MONICA, CA
90404-1249

Practice Phone: 424-259-6593
Practice Fax:

1427055839 — REGENTS OF THE UNIV OF CALIFORNIA
Practice Location Address:

1250 16TH ST
SANTA MONICA, CA
90404-1249

Practice Phone: 310-267-9308
Practice Fax: 310-267-3516

1689657579 — DEBORAH KRAKOW MD
Practice Location Address:

1250 16TH ST STE 2100
SANTA MONICA, CA
90404-1249

Practice Phone: 310-319-1234
Practice Fax:

1083681258 — DR. JOHN PATRICK WHELAN MD PHD
Practice Location Address:

1250 16TH ST # C2304
SANTA MONICA, CA
90404-1249

Practice Phone: 310-319-4698
Practice Fax: 310-319-4908

1497704738 — JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Practice Location Address:

1250 16TH ST , EMERGENCY DEPARTMENT
SANTA MONICA, CA
90404-1249

Practice Phone: 310-319-4000
Practice Fax:

Directions to “ DR. GENADY SHILYANSKY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.