Nicole Marie Demedenko

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

N/A Issued in CA

Practice address

456 Elm Ave
Long Beach, CA 90802-2426

Phone

(562) 437-6717

NPI assigned

Nov 14, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1295916674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10341 MAIKAI DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462528",
            "telephone_number": "714-925-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022426",
            "telephone_number": "562-437-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEDENKO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashmi Delvadia
• Lynn Delvaux, LMFT
• Amanda Delwarte
• Milagros Ferrariz Demandante, MD
• Kristin Demars, PT
• Alina Jzel Golez Demontano
• Mette Dempster, LMFT
• Dennis C. Jerome M.D.
• Dennis Hui-Ting Chen, M.D. a Medical Corporation
• Dennis Hui-Ting Chen, M.D., Inc.

• Case Manager/Care Coordinator in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.