Individual provider Active NPI

Larisa Karazhova, FNP

  • Family Nurse Practitioner
  • Valley Village, CA
National Provider Identifier
1144520388
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20335 Issued in CA
Practice address
5038 Laurel Canyon Blvd Apt 106
Valley Village, CA 91607
Phone
(818) 769-5462
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NP20335 CA
Family Nurse Practitioner 363LF0000X 20335 CA Primary

Addresses

Primary practice location

5038 Laurel Canyon Blvd Apt 106
Valley Village, CA 91607

Mailing address

5038 Laurel Canyon Blvd Apt 106
Valley Village, CA 91607
Phone (818) 769-5462

Other names 1

  • Larisa Levina Other name

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
I20211202001260 CA Practitioner - Nurse Practitioner 8527224914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.4 of 100Reported as group
Quality
69.85
Improvement activities
40
Cost
14.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20335CAMDClinical Social Worker
NP20335CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L.E.V. Medical Group, a Professional Medical Corporation CurrentSince Nov 16, 2021 Accepting new patients

Locations

7855 Santa Monica Blvd
West Hollywood, CA 90046
Phone (310) 623-9222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1144520388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 LAUREL CANYON BLVD APT 106",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-769-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 LAUREL CANYON BLVD APT 106",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-769-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAZHOVA",
        "first_name": "LARISA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NP20335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISA",
            "last_name": "LEVINA",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.