Individual provider Active NPI

Yaroslava Markov, MSN, ARNP, FNP

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1285418749
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95026705 Issued in CA
Practice address
3819 Sherview Dr
Sherman Oaks, CA 91403-5034
Phone
(424) 355-3555
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95026705 CA Primary

Addresses

Primary practice location

3819 Sherview Dr
Sherman Oaks, CA 91403-5034

Mailing address

3819 Sherview Dr
Sherman Oaks, CA 91403-5034
Phone (424) 355-3555

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
I20231003000001 CA Practitioner - Nurse Practitioner 1052723806 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JFL Medical Inc CurrentSince Jan 6, 2024 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Sep 7, 2024 Accepting new patients
Impact Home Health Care Inc Current Accepting new patients
Advanced Hematology Oncology Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Impact Hospice Care Inc Family Medicine CurrentSince Nov 2, 2020 Accepting new patients

Locations

16430 Ventura Blvd
Ste 200A
Encino, CA 91436
Phone (424) 355-3555

6221 Wilshire Blvd
Ste 504
Los Angeles, CA 90048
Phone (323) 965-9995

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

8721 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 435-1862

8733 Beverly Blvd
Ste 201
West Hollywood, CA 90048
Phone (310) 477-8400

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Impact Home Health Care IncEncino, CA, CCN 757514 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Sep 9, 2020
Sep 9, 2020
Sep 9, 2020
Sep 9, 2020
Impact Hospice Care IncEncino, CA, CCN D61526 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Nov 2, 2020
Nov 2, 2020
Nov 2, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1285418749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 SHERVIEW DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035034",
            "telephone_number": "424-355-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 SHERVIEW DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035034",
            "telephone_number": "424-355-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOV",
        "first_name": "YAROSLAVA",
        "credential": "MSN, ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95026705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.