Individual provider Active NPI

Krasimira Kovacheva, LVN

  • Licensed Vocational Nurse
  • Simi Valley, CA
National Provider Identifier
1891690707
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
272077 Issued in CA
Practice address
2419 Manet LN
Simi Valley, CA 93063-3763
Phone
(818) 984-6402
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 272077 CA Primary

Addresses

Primary practice location

2419 Manet LN
Simi Valley, CA 93063-3763

Mailing address

2419 Manet LN
Simi Valley, CA 93063-3763
Phone (818) 984-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1891690707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 MANET LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633763",
            "telephone_number": "818-984-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 MANET LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633763",
            "telephone_number": "818-984-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACHEVA",
        "first_name": "KRASIMIRA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "272077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.