Active NPI
Jordanka Danova Zlatkov
- Physical Therapy Assistant
- Studio City, CA
National Provider Identifier
1134317480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 6839
- Practice address
- 11429 Ventura Blvd
Studio City, CA 91604-3143 - Phone
- (323) 877-6034
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 6839 | CA | Primary |
Addresses
Primary practice location
11429 Ventura Blvd
Studio City, CA 91604-3143
Mailing address
675 Hampshire Rd Apt 26
Westlake Village, CA 91361-2349
Phone (805) 497-6446
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 |
|---|---|---|---|
| AT 6839 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1134317480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 HAMPSHIRE RD APT 26",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612349",
"telephone_number": "805-497-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11429 VENTURA BLVD",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043143",
"telephone_number": "323-877-6034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZLATKOV",
"first_name": "JORDANKA",
"middle_name": "DANOVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 6839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.