Evelina Nadzhafov, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

20789 Issued in CA

Practice address

6929 Vanscoy Ave.
North Hollywood, CA 91605

Phone

(323) 590-7582

NPI assigned

Jan 29, 2010

Last updated

Jan 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Evelina Kozlova Former name

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: e.nadzhafov@cmdje-ca.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beverly Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1144791500
  Medicare reassignment NPD
• Clinica Medica Dr Juan Escobar Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1942444286
  Medicare reassignment

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1801127907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 VANSCOY AVE.",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91605",
            "telephone_number": "323-590-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 VANSCOY AVE.",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91605",
            "telephone_number": "323-590-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADZHAFOV",
        "first_name": "EVELINA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELINA",
            "last_name": "KOZLOVA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Mark V Nabong
• Tamara Nadel-Meister
• Marlene Nadel, CA-CCS, CADC-II
• Justine Nader, AMFT
• Nadia E. Taheri Dental Corporation (Hollywood Smile)
• Leafi Naea
• Barnard G. Nagai, DDS
• Yoav Nagar, DC
• Mizuki Nagayama
• Alexis Davida Naim, LCSW

• Physician Assistant in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.