Individual provider Active NPI

Jovanka N/a Rajic, PMHNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Woodland Hills, CA
National Provider Identifier
1578058327
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
95009264 Issued in CA
Practice address
21500 Burbank Blvd Apt 323
Woodland Hills, CA 91367-6663
Phone
(818) 585-7657
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009264 CA
Family Nurse Practitioner 363LF0000X 95009264 CA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 95009264 CA Primary

Addresses

Primary practice location

21500 Burbank Blvd Apt 323
Woodland Hills, CA 91367-6663

Mailing address

21500 Burbank Blvd Apt 323
Woodland Hills, CA 91367-6663
Phone (818) 585-7657

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240210000511 CA Practitioner - Nurse Practitioner 1052789294 Reassigns benefits to 1 organization
I20240213004187 CA Practitioner - Nurse Practitioner 1052789294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

11001 Sepulveda Blvd
Mission Hills, CA 91345-1413
Phone (818) 838-4000

13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009264CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Soliman MD Inc CurrentSince Dec 12, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 22, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 22, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
J R Advanced Nursing Practice, Inc Current Accepting new patients

Locations

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

Interoperability endpoints

  • Direct secure messaging: advancedpsychiatryassociates.jovamkarajic@157293.advancedmd-direct.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1578058327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 BURBANK BLVD APT 323",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676663",
            "telephone_number": "818-585-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 BURBANK BLVD APT 323",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676663",
            "telephone_number": "818-585-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJIC",
        "first_name": "JOVANKA",
        "middle_name": "N/A",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-06-27",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009264",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.