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Dr. Margaret Ivanov, MD

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Specializes in: Adult Nephrology

Temple University School of Medicine (2015)

Professional interests include: chronic kidney disease (CKD), dialysis

200 W. Arbor Drive
San Diego, CA 92103

1-800-926-8273

Dr. Margaret Ivanov, MD is a nephrologist in San Diego, CA specializing in adult nephrology. She graduated from Temple University School of Medicine in 2015 and has 9 years of experience. Dr. Margaret Ivanov, MD is affiliated with Regents of the University of California.

Office Locations

Address:

200 W. Arbor Drive
San Diego, CA 92103

Address:

9300 Campus Point Drive
San Diego, CA 92037

Some issues Dr. Margaret Ivanov, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

dialysis	17
doctor visit	71
hospital care	197
inpatient care	197

**Gender**
Male	78
Female	69

**Ethnicity**
Non-Hispanic White	75
Black	20
Hispanic	32
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	61
From 75 to 84	33
85 and over	16
Less than 65	37

Hypertension	75
High Cholesterol	68
Stroke	9
Ischemic Heart Disease	56
Depression	38
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	10
Atrial Fibrilation	18
Heart Failure	48
Chronic Obstructive Pulmonary Disease	16
Diabetes	58
Dementia	24
Cancer	15

dialysis	83
doctor visit	561
hospital care	480
inpatient care	480

Average Medicare Procedure Volume From 2020 - 2021

Volume of procedures performed by Dr. Margaret Ivanov, MD for Medicare patients.

The highest averages for the top procedures that Dr. Margaret Ivanov, MD treated as a nephrologist in San Diego, CA were hospital care, inpatient care and dialysis.

dialysis	50
doctor visit	316
hospital care	338
inpatient care	338

Average Medicare Patient Data From 2020 - 2021

Information about Medicare patients treated by Dr. Margaret Ivanov, MD.

**Gender**
Male	7
Female	6

**Ethnicity**
Black / African American	2
Asian / Pacific Islander	0
Non-Hispanic White	7
Native American / Alaskan Native	0
Hispanic	3
Other	0

**Age**
75 to 84	3
85 and over	1
Less than 65	3
65 to 74	6

Average of Total of Conditions of Medicare patients treated by Dr. Margaret Ivanov, MD From 2020 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Margaret Ivanov, MD treated were chronic kidney disease, high cholesterol, hypertension and diabetes.

Hypertension	7
High Cholesterol	6
Stroke	0
Ischemic Heart Disease	5
Depression	3
Chronic Kidney Disease	7
Asthma	1
Osteoporosis	1
Heart Failure	4
Chronic Obstructive Pulmonary Disease	1
Diabetes	5
Atrial Fibrillation	1
Cancer	1
Dementia	2

Education & Training

Dr. Margaret Ivanov, MD graduated from Temple University School of Medicine in 2015. She has a state license in California.

Medical School: Temple University School of Medicine (2015)

Licensed In: California

Affiliations & Hospitals

Dr. Margaret Ivanov, MD is associated with these hospitals and organizations:

Regents of the University of California

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General Payments

These charts describe general payments received by Dr. Margaret Ivanov, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Travere Therapeutics, Inc.	$5 $5

**Types of Payments**
Education	$5

Biography

Dr. Margaret Ivanov practices adult nephrology in San Diego, CA. Her areas of expertise include chronic kidney disease (CKD) and dialysis. She is affiliated with Regents of the University of California. Dr. Ivanov graduated from Temple University School of Medicine.