NPIMap

Individual provider Active NPI

Pouriya Elyasi, D.C

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1144544453
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31592 Issued in CA
Practice address
9701 W Pico Blvd
Suit 100
Los Angeles, CA 90035-4744
Phone
(310) 628-0727
Fax
(310) 552-5245
NPI assigned
Mar 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31592 CA Primary

Addresses

Primary practice location

9701 W Pico Blvd
Suit 100
Los Angeles, CA 90035-4744

Mailing address

9701 W Pico Blvd
Suit 100
Los Angeles, CA 90035-4744
Phone (310) 628-0727

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

State licenses

LicenseStateTypeSpecialty
DC-31592CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elyasi del Torto Chiropractic, Inc. Chiropractor Current Accepting new patients
Elyasi Chiropractic, Apc Chiropractor Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1144544453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 W PICO BLVD",
            "address_2": "SUIT 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354744",
            "telephone_number": "310-628-0727",
            "fax_number": "310-552-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 W PICO BLVD",
            "address_2": "SUIT 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354744",
            "telephone_number": "310-628-0727",
            "fax_number": "310-552-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYASI",
        "first_name": "POURIYA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.