Active NPI
Yaniv J Dvora, D.C.
- Chiropractor
- Simi Valley, CA
National Provider Identifier
1225116775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 27909
- Practice address
- 2072 Tapo St
Simi Valley, CA 93063-3441 - Phone
- (805) 584-1114
- Fax
- (805) 584-3102
- NPI assigned
- Nov 1, 2006
- Last updated
- Apr 17, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 27909 | CA | Primary |
Addresses
Primary practice location
2072 Tapo St
Simi Valley, CA 93063-3441
Mailing address
2072 Tapo St
Simi Valley, CA 93063-3441
Phone (805) 584-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2072 Tapo St
Simi Valley, CA 93063-3441
Phone (805) 584-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 27909 | CA | MD | Chiropractor |
| 27909 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lloyd E. Boland, D.C., a Chiropractic Corporation | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Simi Valley, CA
- NPI 1053678912
-
- Chiropractor
- Simi Valley, CA
- NPI 1184742728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1225116775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 TAPO ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633441",
"telephone_number": "805-584-1114",
"fax_number": "805-584-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2072 TAPO ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633441",
"telephone_number": "805-584-1114",
"fax_number": "805-584-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORA",
"first_name": "YANIV",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 27909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.