Katarina Nevena Vidovic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA67884 Issued in CA

Practice address

416 N Bedford Dr Ste 100
Beverly Hills, CA 90210-4308

Phone

(310) 993-4679

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1194561886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39219 GUARDINO DR APT 163",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383015",
            "telephone_number": "925-202-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-993-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDOVIC",
        "first_name": "KATARINA",
        "middle_name": "NEVENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Rapaport, M.D., a Professional Corporation
• Victor Gura MD, Inc
• Victor Zhu, M.D., P.C.
• Victoria Cohen-Gadol, D.D.S, Inc.
• Frank Mario Antonio Vidjak, DDS
• Viha Medical, Inc., a Professional Corporation
• Village Learning LLC
• Catrien H Villamil, LMFT
• Mariel Villanueva
• Nathaniel Leon Villanueva, M.D.

• Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.