MR. ALEKSANDR SAKHAROV (PA-C) – Surgical Physician Assistant, NPI 1407991490
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for MR. ALEKSANDR SAKHAROV (PA-C)
3400 DATA DR
ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
2656 EDITH AVE STE B
REDDING, CA 960013030
Phone: (530) 244-2882
Fax: (530) 244-3703
Type: Location
2656 Edith Ave Ste B
Redding, CA 960013030
Phone: (530) 244-2882
Fax: (530) 244-3703
Type: Location
1235 E Cherokee St
Springfield, MO 658042203
Phone: (417) 820-3960
Type: Location
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (626) 457-6601
Type: Mailing
1441 EASTLAKE AVE
LOS ANGELES, CA 900891019
Phone: (323) 865-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191221000604 | I | Physician Assistant | CO | TBD |
| I20200414000031 | I | Physician Assistant | CA | TBD |
| I20241120003160 | I | Physician Assistant | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95670)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CA | |
| - | CO | |
| Physician Assistant | CO | |
| Hospitalist, Family Practice | CO | |
| - | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| - | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.