Individual provider Active NPI

Svitlana Bondar, NURSE PRACTITIONER

  • Nurse Practitioner
  • Encino, CA
National Provider Identifier
1275199705
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010208 Issued in CA
Practice address
16260 Ventura Blvd Ste LL15
Encino, CA 91436-4931
Phone
(818) 905-1567
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95010208 CA
Family Nurse Practitioner 363LF0000X F0718168017 CA
Nurse Practitioner 363L00000X 95010208 CA Primary
Gastroenterology Physician 207RG0100X 1275199705 CA

Addresses

Primary practice location

16260 Ventura Blvd Ste LL15
Encino, CA 91436-4931

Mailing address

15211 Vanowen St Ste 209
Van Nuys, CA 91405-3624

Other identifiers 2

IdentifierTypeStateIssuer
95010208OtherCANURSE PRACTITIONER
MEDICAIDMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Martha Other

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
I20260226001855 CA Practitioner - Nurse Practitioner 1557842648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mordo Suchov MD IncGroup PAC ID 8426102112, 15 clinicians

Practice addresses (Care Compare)

850 S Atlantic Blvd
Suite 202
Monterey Park, CA 91754-6706
Phone (213) 483-4500

Hospital & facility affiliations

  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010208CAMDFamily Medicine Physician
1275199705CAMDGastroenterology Physician
F0718168017CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mordo Suchov MD Inc Gastroenterology CurrentSince Dec 15, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste LL15
Encino, CA 91436
Phone (818) 582-3427

850 S Atlantic Blvd
Ste 202
Monterey Park, CA 91754
Phone (213) 483-4500

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1275199705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 209",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE LL15",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364931",
            "telephone_number": "818-905-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDAR",
        "first_name": "SVITLANA",
        "name_prefix": "Prof.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95010208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F0718168017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010208",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "1275199705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95010208",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDICAID",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Martha",
            "affiliation": "N",
            "endpointDescription": "name",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "files",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "files",
            "address_1": "15211 Vanowen St Ste 209",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914053624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.