Active NPI
Marina Bondarenko, RN
- Case Management Registered Nurse
- Chatsworth, CA
National Provider Identifier
1386847440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 652896
- Practice address
- 21323 Lemarsh St
#311
Chatsworth, CA 91311-6749 - Phone
- (818) 882-3808
- Fax
- (818) 882-3808
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 652896 | CA | Primary |
Addresses
Primary practice location
21323 Lemarsh St
#311
Chatsworth, CA 91311-6749
Mailing address
21322 Lemarsh
Apt # 311
Chatsworth, CA 91311
Phone (818) 882-3808
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652896 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386847440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21322 LEMARSH",
"address_2": "APT # 311",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "91311",
"telephone_number": "818-882-3808",
"fax_number": "818-882-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21323 LEMARSH ST",
"address_2": "#311",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913116749",
"telephone_number": "818-882-3808",
"fax_number": "818-882-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDARENKO",
"first_name": "MARINA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "652896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatsworth, CA
- Blessed Home Health Partners (Blessed Partners Home Health)
- Rochelle Dale Bloom, LMFT
- Blue Butterfly Hospice, Inc.
- Blue Diamond Home Health Inc
- Ildiko Roxane Bocskay, PHD, PMHNP-BC
- Thomas Meredith Booth, LCSW
- Leslie Borodi, C E ADMINISTRATOR
- Kevin Boyd, LCSW
- Omer Sahan Boysan, D.C.
- John Davies Bracken, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.