Individual provider Active NPI

Inna Solodukha

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1609585207
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95034021 Issued in CA
Practice address
1500 E Gage Ave Apt 6
Los Angeles, CA 90001-1724
Phone
(818) 450-4276
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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 95034021 CA Primary

Addresses

Primary practice location

1500 E Gage Ave Apt 6
Los Angeles, CA 90001-1724

Mailing address

9561 Via Ricardo
Burbank, CA 91504-1218
Phone (818) 450-4276

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

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1609585207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9561 VIA RICARDO",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041218",
            "telephone_number": "818-450-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E GAGE AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011724",
            "telephone_number": "818-450-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLODUKHA",
        "first_name": "INNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95034021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.