Active NPI
Natalia Kovaleski, PA-C
- Medical Physician Assistant
- La Jolla, CA
National Provider Identifier
1841611324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA22994
- Practice address
- 9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208 - Phone
- (858) 864-9800
- NPI assigned
- Dec 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA22994 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Mailing address
9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Phone (858) 864-9800
Other practice location 1
2080 Century Park E
1806
Los Angeles, CA 90067-2001
Phone (310) 551-1711
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22994 | CA | MD | Medical Physician Assistant |
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": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1841611324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 320",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371208",
"telephone_number": "858-864-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 320",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371208",
"telephone_number": "858-864-9800"
}
],
"practiceLocations": [
{
"address_1": "2080 Century Park E",
"address_2": "1806",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900672001",
"country_code": "US",
"telephone_number": "310-551-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOVALESKI",
"first_name": "NATALIA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-30",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA22994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.