Physician Compare National (NPI:1639303118)

HEALTHCARE PROVIDER: IRYNA ANATOLIYEVNA FALKENSTEIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639303118
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799931556
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170822003722
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FALKENSTEIN
	Individual professional last name
Provider First Name	IRYNA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	491 30TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	OAKLAND
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	946093235
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5107639775
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050276
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CONTRA COSTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050047
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050305
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y