Active NPI
Marina Kobryn, RN, WHNP-BC
- Women's Health Nurse Practitioner
- Granada Hills, CA
National Provider Identifier
1548720634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 10627
- Practice address
- 16857 San Fernando Mission Blvd Unit 56
Granada Hills, CA 91344-4253 - Phone
- (818) 625-3264
- NPI assigned
- Mar 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 476190 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 10627 | CA | Primary |
Addresses
Primary practice location
16857 San Fernando Mission Blvd Unit 56
Granada Hills, CA 91344-4253
Mailing address
16857 San Fernando Mission Blvd Unit 56
Granada Hills, CA 91344-4253
Phone (818) 625-3264
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 |
|---|---|---|---|
| 476190 | CA | MD | Medical-Surgical Registered Nurse |
| 10627 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553299200000",
"number": "1548720634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16857 SAN FERNANDO MISSION BLVD UNIT 56",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444253",
"telephone_number": "818-625-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16857 SAN FERNANDO MISSION BLVD UNIT 56",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444253",
"telephone_number": "818-625-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBRYN",
"first_name": "MARINA",
"credential": "RN, WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2019-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "476190",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "10627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.