Individual provider Active NPI

Olena Tumilovich

  • Family Nurse Practitioner
  • Valley Village, CA
National Provider Identifier
1285420992
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95034224 Issued in CA
Practice address
5700 Laurel Canyon Blvd Apt 308
Valley Village, CA 91607-4539
Phone
(818) 599-6738
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95034224 CA Primary

Addresses

Primary practice location

5700 Laurel Canyon Blvd Apt 308
Valley Village, CA 91607-4539

Mailing address

5700 Laurel Canyon Blvd Apt 308
Valley Village, CA 91607-4539
Phone (818) 599-6738

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
I20251024004021 CA Practitioner - Nurse Practitioner 9739677212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

9640 Venice Blvd
Culver City, CA 90232-2626
Phone (310) 963-0365

Hospital & facility affiliations

  • Enhancedcare Home Health Home health agency, Duarte, CA, CCN 058301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95034224CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriheal PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171

9640 Venice Blvd
Culver City, CA 90232
Phone (310) 803-6013

1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377

4164 N 4th Ave
Sn Bernrdno, CA 92407
Phone (909) 886-6786

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1285420992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAUREL CANYON BLVD APT 308",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074539",
            "telephone_number": "818-599-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAUREL CANYON BLVD APT 308",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074539",
            "telephone_number": "818-599-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMILOVICH",
        "first_name": "OLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95034224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.