Individual provider Active NPI

Aleksandra Zaitseva, NP

  • Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1689274607
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012598 Issued in CA
Practice address
1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340
Phone
(818) 559-1460
Fax
(818) 559-1466
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012598 CA Primary

Addresses

Primary practice location

1575 N Lake Ave Ste 208
Pasadena, CA 91104-2340

Mailing address

18100 Burbank Blvd Unit 11
Tarzana, CA 91356-2525
Phone (323) 419-9086

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012598CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith & Hope Hospice Care, Inc. CurrentSince Jul 9, 2023 Accepting new patients
Calm Care Hospice, Inc. PastSince Nov 15, 2023 Accepting new patients

Locations

1575 N Lake Ave
Ste 208
Pasadena, CA 91104
Phone (818) 559-1460

Organizations & group practices 2

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1689274607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 BURBANK BLVD UNIT 11",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562525",
            "telephone_number": "323-419-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N LAKE AVE STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042340",
            "telephone_number": "818-559-1460",
            "fax_number": "818-559-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAITSEVA",
        "first_name": "ALEKSANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.