Individual provider Active NPI

Elina Mendelson

  • Registered Nurse
  • Encino, CA
National Provider Identifier
1457926636
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95185935 Issued in CA
Practice address
15651 Dickens St Apt 211
Encino, CA 91436-3151
Phone
(818) 605-2409
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95185935 CA Primary

Addresses

Primary practice location

15651 Dickens St Apt 211
Encino, CA 91436-3151

Mailing address

15651 Dickens St Apt 211
Encino, CA 91436-3151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elinavanyan@hotmail.com

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

State licenses

LicenseStateTypeSpecialty
95185935CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1457926636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 DICKENS ST APT 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 DICKENS ST APT 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363151",
            "telephone_number": "818-605-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "ELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95185935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elinavanyan@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "15651 Dickens St Apt 211",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914363151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.