Active NPI
Darya Kraynova
- Pharmacist
- Reseda, CA
National Provider Identifier
1003397753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85424
- Practice address
- 18647 Keswick St
Reseda, CA 91335-1832 - Phone
- (818) 390-1878
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85424 | CA | Primary |
Addresses
Primary practice location
18647 Keswick St
Reseda, CA 91335-1832
Mailing address
18647 Keswick St
Reseda, CA 91335-1832
Phone (818) 390-1878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85424 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Bella Vita Hospice, Inc. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Westlake Village, CA
- NPI 1275064735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671840000000",
"number": "1003397753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18647 KESWICK ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351832",
"telephone_number": "818-390-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18647 KESWICK ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351832",
"telephone_number": "818-390-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAYNOVA",
"first_name": "DARYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2022-12-24",
"certification_date": "2022-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.