Mina Ognjanovic-Jasovic, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-31537 Issued in CA

Practice address

17046 Burbank Blvd Apt 1
Encino, CA 91316-1830

Phone

(818) 915-0191

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milk Bar Collective, Inc.

  • Lactation Consultant (Registered Nurse)
  • San Diego, CA
  • NPI 1811729890

  Lactation Consultant, Non-RN

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1073134219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17046 BURBANK BLVD APT 1",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161830",
            "telephone_number": "818-915-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17046 BURBANK BLVD APT 1",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161830",
            "telephone_number": "818-915-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGNJANOVIC-JASOVIC",
        "first_name": "MINA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-31537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-31537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF LOS ANGELES",
            "identifier": "0002894751-0001-8",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Lucia Ochoa
• Oculoplastic Surgery Center Inc
• Emmanuel Enitan Oduwole, DC
• Sarit Ofir, PSY.D
• Kyle Oggs
• Oluwayemisi Ogunde, DPT
• Jonathan Oheb, MD
• Michael Ohebsion
• Carolyn Okazaki, LCSW
• Lilian Okeke

• Lactation Consultant (Non-RN) in Encino, CA
• Providers in Encino, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.