Active NPI
Jenna Tarkela, FNP
- Family Nurse Practitioner
- Northridge, CA
National Provider Identifier
1275851784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19824
- Practice address
- 18111 Nordhoff St
Northridge, CA 91330-8270 - Phone
- (818) 677-3666
- NPI assigned
- May 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336171-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | 19824 | CA | Primary |
Addresses
Primary practice location
18111 Nordhoff St
Northridge, CA 91330-8270
Mailing address
18111 Nordhoff St
Northridge, CA 91330-8270
Phone (818) 677-3666
Other practice location 1
1711 Ocean Park Blvd
Santa Monica, CA 90405-4901
Phone (310) 450-2191
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336171-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Health Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAHCCA
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.
-
- Clinic/Center
- Culver City, CA
- NPI 1407033616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1275851784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18111 NORDHOFF ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913308270",
"telephone_number": "818-677-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 NORDHOFF ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913308270",
"telephone_number": "818-677-3666"
}
],
"practiceLocations": [
{
"address_1": "1711 Ocean Park Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904054901",
"country_code": "US",
"telephone_number": "310-450-2191",
"fax_number": "310-450-0873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARKELA",
"first_name": "JENNA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336171-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "19824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.