Individual provider Active NPI

Olena Svetlov, DNP, APRN, AGNP/CNS

  • Acute Care Clinical Nurse Specialist
  • Calabasas, CA
National Provider Identifier
1073322053
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
4292 Issued in CA
Practice address
5542 Las Virgenes Rd Unit 96
Calabasas, CA 91302-1000
Phone
(818) 635-2934
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 95005011 CA
Gerontology Nurse Practitioner 363LG0600X 95005011 CA
Primary Care Nurse Practitioner 363LP2300X 95005011 CA
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 4292 CA
Transplantation Clinical Nurse Specialist 364ST0500X 4292 CA
Adult Health Clinical Nurse Specialist 364SA2200X 4292 CA
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 4292 CA
Acute Care Clinical Nurse Specialist 364SA2100X 4292 CA Primary

Addresses

Primary practice location

5542 Las Virgenes Rd Unit 96
Calabasas, CA 91302-1000

Mailing address

5542 Las Virgenes Rd Unit 96
Calabasas, CA 91302-1000
Phone (818) 635-2934

Other practice location 1

Vylutsja Heroiiv Desantnukiv 11
apt 46
Zhytomyr, Zhytomyr oblast 10001
UA
Phone (818) 635-2934

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

LicenseStateTypeSpecialty
95005011CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1073322053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 LAS VIRGENES RD UNIT 96",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021000",
            "telephone_number": "818-635-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 LAS VIRGENES RD UNIT 96",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021000",
            "telephone_number": "818-635-2934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vylutsja Heroiiv Desantnukiv 11",
            "address_2": "apt 46",
            "address_purpose": "LOCATION",
            "city": "Zhytomyr",
            "state": "Zhytomyr oblast",
            "postal_code": "10001",
            "country_code": "UA",
            "telephone_number": "818-635-2934",
            "country_name": "Ukraine",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "SVETLOV",
        "first_name": "OLENA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGNP/CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95005011",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95005011",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95005011",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "4292",
            "primary": false
        },
        {
            "code": "364ST0500X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Transplantation",
            "state": "CA",
            "license": "4292",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "4292",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "CA",
            "license": "4292",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CA",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.