Tatyana Lebenkova

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

506675 Issued in CA

Practice address

14860 Roscoe Blvd Ste 306
Panorama City, CA 91402-7903

Phone

(818) 904-2983

NPI assigned

Aug 15, 2011

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Yuriy Verpukhovskiy MD Inc

  • Clinic/Center
  • Panorama City, CA
  • NPI 1326244427
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1265711766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23606 VALLEY VIEW RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022039",
            "telephone_number": "323-899-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD STE 306",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914027903",
            "telephone_number": "818-904-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBENKOVA",
        "first_name": "TATYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "506675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LCS Diagnostic Inc
• Leroy Le, PHARMD
• Brett A. Leake, MD
• Jorge Leal
• Pamela D Leavitt, DPM
• Led Hospice Care
• Lee Chauffeured Services Inc
• Waiming P. Lee-Walline, MD
• Christina Lee, PHARMD
• Edward Haniel Lee, A.C

• Family Nurse Practitioner in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.