Ademira Porcic, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

696055 Issued in CA

Practice address

4434 Harding Ave
Los Angeles, CA 90066

Phone

(701) 306-5823

NPI assigned

Aug 20, 2014

Reactivated

Jan 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ademira Porcic Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dakota Home Care, Inc.

  • Nursing Care Agency
  • Bismarck, ND
  • NPI 1780959809
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1861891376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 ARCH DR APT 20",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043260",
            "telephone_number": "701-306-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 HARDING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "701-306-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Collins Ave",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585542067",
            "country_code": "US",
            "telephone_number": "701-663-5373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORCIC",
        "first_name": "ADEMIRA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2019-05-20",
        "deactivation_date": "2018-11-21",
        "reactivation_date": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "696055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEMIRA",
            "last_name": "PORCIC",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Martin A Pops, MD
• Robert Poquechoque, MD
• Tal Poran, LCSW
• Veronica Porche-Anderson, PSY.D.
• Jeremy J Porche, CRNA
• Reza Pordell, MD
• Lise Porembka, BA
• Jessie Porfidio
• Poria Edalat, DDS, Apc
• Comanika M Pork

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.