Yelena Khavkina, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019870 Issued in CA

Practice address

28245 Newhall Ranch Rd
Valencia, CA 91355-0986

Phone

(714) 979-5880

NPI assigned

May 5, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1891431607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17611 ARVIDA DR",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441303",
            "telephone_number": "323-369-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28245 NEWHALL RANCH RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550986",
            "telephone_number": "714-979-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVKINA",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branigan Kerr, LCSW
• Anahita Keschani, D.M.D
• Michael Dean Kewish
• Nyasia Chanel Key
• Daniel Khakshooy, MD, MPH
• Manraj Singh Khosla, M.D.
• Anthony Kibler, BCBA
• Maya M Kido, M.D.
• Lucy Kiluta
• Andrew Kim

• Family Nurse Practitioner in Valencia, CA
• Providers in Valencia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.