Individual provider Active NPI

Mark Stolyar, DC

  • Chiropractor
  • Studio City, CA
National Provider Identifier
1114197860
Registry record updated Feb 25, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jul 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26249 Issued in CA
Practice address
11684 Ventura Blvd # 154
Suite #154
Studio City, CA 91604-2699
Phone
(818) 308-8200
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26249 CA Primary
Occupational Health Chiropractor 111NX0100X DC26249 CA

Addresses

Primary practice location

11684 Ventura Blvd # 154
Suite #154
Studio City, CA 91604-2699

Mailing address

11684 Ventura Blvd # 154
Suite #154
Studio City, CA 91604-2699
Phone (818) 308-8200

Other identifiers 1

IdentifierTypeStateIssuer
DC26249OtherCADC 26249

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC26249CAMDOccupational Health Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1114197860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11684 VENTURA BLVD # 154",
            "address_2": "SUITE #154",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042699",
            "telephone_number": "818-308-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11684 VENTURA BLVD # 154",
            "address_2": "SUITE #154",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042699",
            "telephone_number": "818-308-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLYAR",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26249",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC26249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC 26249",
            "identifier": "DC26249",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.