Dina Kristeva, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95021217 Issued in CA

Practice address

1191 Phelps Ave
Coalinga, CA 93210-9609

Phone

(559) 821-6100

NPI assigned

Jul 9, 2022

Last updated

Jul 9, 2022By 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

• Dina Katko 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

Nurse Practitioner

Practice roles

Locations

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.

• Sinu-Clear Inc

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  • Encino, CA
  • NPI 1831298751
  Medicare reassignment NPD

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1841923562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 PHELPS AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109609",
            "telephone_number": "559-821-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 PHELPS AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109609",
            "telephone_number": "559-821-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTEVA",
        "first_name": "DINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "KATKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Ann Kelly, L.C.S.W.
• Julian Kim, MD
• Eric Kolkebeck
• Emi Komaki
• Debra Lynn Kotler, PH.D.
• Mark Kunze, PSY.D.
• Ryan Sumin Kwak
• Sangil Kwon, PH.D.
• Rebecca Jane Labbee
• Satyajeet Lahiri, MD

• Nurse Practitioner in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.