Active NPI
Yaniv Farbenbloom, D.C.
- Sports Physician Chiropractor
- Encino, CA
National Provider Identifier
1164561239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 25863
- Practice address
- 16133 Ventura Blvd Ste 700
Encino, CA 91436-2406 - Phone
- (818) 377-7444
- Fax
- (415) 634-1356
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 25863 | CA | Primary |
Addresses
Primary practice location
16133 Ventura Blvd Ste 700
Encino, CA 91436-2406
Mailing address
16133 Ventura Blvd Ste 700
Encino, CA 91436-2406
Phone (818) 377-7444
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25863 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Health & Wellness Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Studio City, CA
- NPI 1790094555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1164561239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16133 VENTURA BLVD STE 700",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362406",
"telephone_number": "818-377-7444",
"fax_number": "415-634-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16133 VENTURA BLVD STE 700",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362406",
"telephone_number": "818-377-7444",
"fax_number": "415-634-1356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARBENBLOOM",
"first_name": "YANIV",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "25863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.