Individual provider Active NPI

Svitlana Molodyk

  • Home Health Aide
  • Glendale, CA
National Provider Identifier
1689401226
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
121 W Lexington Dr # L400C
Glendale, CA 91203-2230
Phone
(818) 919-1448
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary
Registered Nurse 163W00000X RN95144163 CA

Addresses

Primary practice location

121 W Lexington Dr # L400C
Glendale, CA 91203-2230

Mailing address

4466 Coldwater Canyon Ave Apt 206
Studio City, CA 91604-5022
Phone (818) 919-1448

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

State licenses

LicenseStateTypeSpecialty
RN95144163CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Davids Healthcare CurrentSince Oct 20, 2024 Accepting new patients

Locations

121 W Lexington Dr
Ste L400C
Glendale, CA 91203
Phone (818) 358-3030

Organizations & group practices 1

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1689401226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 COLDWATER CANYON AVE APT 206",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916045022",
            "telephone_number": "818-919-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR # L400C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032230",
            "telephone_number": "818-919-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLODYK",
        "first_name": "SVITLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95144163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.