Individual provider Active NPI

Katsiaryna Maroz, NP

  • Nurse Practitioner
  • Woodland Hills, CA
National Provider Identifier
1891483988
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017802 Issued in CA
Practice address
20301 Ventura Blvd Ste 210
Woodland Hills, CA 91364-0934
Phone
(818) 346-4300
Fax
(818) 436-0231
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017802 CA Primary

Addresses

Primary practice location

20301 Ventura Blvd Ste 210
Woodland Hills, CA 91364-0934

Mailing address

20301 Ventura Blvd Ste 210
Woodland Hills, CA 91364-0934
Phone (818) 346-4300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002369 CA Practitioner - Nurse Practitioner 7012361108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Igor Gary Shlifer DO P.C.Group PAC ID 1557644911, 6 clinicians

Practice addresses (Care Compare)

20301 Ventura Blvd
Suite 210
Woodland Hills, CA 91364-0934
Phone (818) 981-0080

Hospital & facility affiliations

  • 360 Home Health Agency Home health agency, Canoga Park, CA, CCN 059742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Igor Gary Shlifer DO P.C. CurrentSince Aug 30, 2023 Accepting new patients

Locations

20301 Ventura Blvd
Ste 210
Woodland Hls, CA 91364
Phone (818) 346-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1891483988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640934",
            "telephone_number": "818-346-4300",
            "fax_number": "818-436-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640934",
            "telephone_number": "818-346-4300",
            "fax_number": "818-436-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROZ",
        "first_name": "KATSIARYNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.