Individual provider Active NPI

Yelena Razgonyayeva, FNP-C

  • Family Nurse Practitioner
  • Mission Hills, CA
National Provider Identifier
1487275467
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95016400 Issued in CA
Practice address
15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766
Phone
(818) 894-5616
NPI assigned
May 1, 2020
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95016400 CA Primary
Medical-Surgical Registered Nurse 163WM0705X 758557 CA

Addresses

Primary practice location

15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766

Mailing address

15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766
Phone (818) 894-5616

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
I20210520001536 CA Practitioner - Nurse Practitioner 4688073950 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc Current Accepting new patients
Complete Care Community Health Center, Inc CurrentSince May 6, 2021 Accepting new patients
First Aid Urgent Care Inc CurrentSince Apr 2, 2022 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince May 6, 2021 Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 237-6200

9064 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 352-8333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yelena.razgonyayeva.p1@direct.ccchcenter.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1487275467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZGONYAYEVA",
        "first_name": "YELENA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016400",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "758557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.