Individual provider Active NPI

Rayna Cvetkova

  • Acute Care Nurse Practitioner
  • Studio City, CA
National Provider Identifier
1093288102
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95010728 Issued in CA
Practice address
11545 Moorpark St Apt 112
Studio City, CA 91602-1938
Phone
(818) 641-4250
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95010728 CA Primary

Addresses

Primary practice location

11545 Moorpark St Apt 112
Studio City, CA 91602-1938

Mailing address

11545 Moorpark St Apt 112
Studio City, CA 91602-1938
Phone (818) 641-4250

Other identifiers 1

IdentifierTypeStateIssuer
95010728OtherCAACUTE CARE NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001236 CA Practitioner - Nurse Practitioner 3577928696 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Jan 24, 2025 Accepting new patients
Mobile Physicians Medical Allied Group Inc CurrentSince Apr 24, 2024 Accepting new patients
Lifeshades of Nursing Professional Corporation Current Accepting new patients
Acute Care Associates of California PC CurrentSince Aug 16, 2024 Accepting new patients
Pih Health Physicians CurrentSince Jan 24, 2025 Accepting new patients
Global Mobile Medical Alliances, Inc. PastSince Mar 23, 2022 Accepting new patients
Akg Wellness Center Inc Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1093288102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 MOORPARK ST APT 112",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916021938",
            "telephone_number": "818-641-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 MOORPARK ST APT 112",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916021938",
            "telephone_number": "818-641-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVETKOVA",
        "first_name": "RAYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95010728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUTE CARE NURSE PRACTITIONER",
            "identifier": "95010728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.