Individual provider Active NPI

Larisa Zabokritskaya, RN, NP

  • Women's Health Nurse Practitioner
  • Marina del Rey, CA
National Provider Identifier
1104072719
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
681341 Issued in CA
Practice address
13209 Fiji Way Unit J
Marina del Rey, CA 90292-7071
Phone
(310) 827-6750
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 681341 CA
Women's Health Nurse Practitioner 363LW0102X 681341 CA Primary

Addresses

Primary practice location

13209 Fiji Way Unit J
Marina del Rey, CA 90292-7071

Mailing address

13209 Fiji Way Unit J
Marina del Rey, CA 90292-7071
Phone (310) 827-6750

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
681341CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paloma Women'S Clinic and Medical Center, Nursing P.C Current Accepting new patients
Century Family Medical Group, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1104072719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13209 FIJI WAY UNIT J",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927071",
            "telephone_number": "310-827-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13209 FIJI WAY UNIT J",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927071",
            "telephone_number": "310-827-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABOKRITSKAYA",
        "first_name": "LARISA",
        "name_prefix": "Mrs.",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "681341",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "681341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.