Organization Active NPI

Yoav Nagar Chiropractic Prof Corp

  • Sports Physician Chiropractor
  • North Hollywood, CA
National Provider Identifier
1154551695
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC-25477 Issued in CA
Legal business name
YOAV NAGAR CHIROPRACTIC PROF CORP
Practice address
12626 Riverside Dr Ste 301
North Hollywood, CA 91607-3473
Phone
(818) 760-0110
Fax
(818) 760-0137
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Yoav Nagar, D.C.NPI 1548289176
Title
President
Phone
(818) 760-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC-25477 CA Primary

Addresses

Primary practice location

12626 Riverside Dr Ste 301
North Hollywood, CA 91607-3473

Mailing address

12626 Riverside Dr Ste 301
North Hollywood, CA 91607-3473
Phone (818) 760-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000702 CA Part B Supplier - Clinic/Group Practice 5890847891 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1154551695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 301",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073473",
            "telephone_number": "818-760-0110",
            "fax_number": "818-760-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 301",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073473",
            "telephone_number": "818-760-0110",
            "fax_number": "818-760-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOAV NAGAR CHIROPRACTIC PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "NAGAR",
        "authorized_official_first_name": "YOAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-760-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC-25477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.