IndividualActive
Mira Takhalova, RN
NPI 1366171779 · Gerontology Registered Nurse · Los Angeles, CA
Mira Takhalova, RN is a Gerontology Registered Nurse provider in Los Angeles, CA (NPI 1366171779).
Provider details
- NPI number
- 1366171779
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 586479 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8445 Vernon Avenue #309
Los Angeles, CA 90067-4565
Phone: (323) 633-6363
Approximate (ZIP-level) locationGet directions
Mailing address
1155 N Gardner St Apt 302
West Hollywood, CA 90046-5623
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-06
Frequently asked questions
- What is Mira Takhalova's NPI number?
- Mira Takhalova's National Provider Identifier (NPI) is 1366171779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mira Takhalova's specialty?
- Mira Takhalova is listed in the NPPES registry with a primary specialty of Gerontology Registered Nurse (Nursing Service Providers).
- Where is Mira Takhalova located?
- Mira Takhalova's practice location on file with NPPES is 8445 Vernon Avenue #309, Los Angeles, CA 90067-4565.
- What is Mira Takhalova's phone number?
- The practice phone number listed in the NPPES registry for Mira Takhalova is (323) 633-6363.
- Is Mira Takhalova's NPI active?
- Yes — Mira Takhalova's NPI (1366171779) is active in the NPPES registry as of the last update on 2022-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.