Active NPI
Larissa Markevich, NP
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1841417573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13502
- Practice address
- 2170 Century Park E
Suite 1506
Los Angeles, CA 90067-2243 - Phone
- (213) 590-3480
- Fax
- (310) 286-1090
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13502 | CA | Primary |
Addresses
Primary practice location
2170 Century Park E
Suite 1506
Los Angeles, CA 90067-2243
Mailing address
2170 Century Park E
Suite 1506
Los Angeles, CA 90067-2243
Phone (213) 590-3480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN502860 | Other | CA | RN CERTIFICATE |
| 13502 | Other | CA | CALIFORNIA LISENCE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Val P Shulman | Past | Accepting new patients | |
| Curson Pharmacy Inc | Past | Accepting new patients | |
| Val Shulman M D Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- West Hollywood, CA
- NPI 1730199555
-
- Mammography Clinic/Center
- Los Angeles, CA
- NPI 1780808097
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1215151626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1841417573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 CENTURY PARK E",
"address_2": "SUITE 1506",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672243",
"telephone_number": "213-590-3480",
"fax_number": "310-286-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 CENTURY PARK E",
"address_2": "SUITE 1506",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672243",
"telephone_number": "213-590-3480",
"fax_number": "310-286-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKEVICH",
"first_name": "LARISSA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "13502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN CERTIFICATE",
"identifier": "RN502860",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LISENCE",
"identifier": "13502",
"state": "CA"
}
],
"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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.