Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elena Khavshaba

Individual provider Family Nurse Practitioner · NPI 1487364808

Elena Khavshaba is a Nurse Practitioner in Montrose, California. Qualified in 2022, 4 years ago. Practices with Altea Medical California PC, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

2621 Honolulu Ave
Montrose, CA 91020-1706
Phone: (818) 726-7220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F11220384 (CA)

Record details

NPI number1487364808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address1234 Richard Pl, Glendale, CA 91206-3463

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Altea Medical California Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Montrose