Active NPI
Ronit Davidyan, LCSW, BCD
- Clinical Social Worker
- Los Angeles,, CA
National Provider Identifier
1255543765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17932
- Practice address
- 10921 Wilshire Blvd., Suite 613
Los Angeles,, CA 90024 - Phone
- (310) 391-4901
- Fax
- (310) 313-1553
- NPI assigned
- May 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17932 | CA | Primary |
Addresses
Primary practice location
10921 Wilshire Blvd., Suite 613
Los Angeles,, CA 90024
Mailing address
10921 Wilshire Blvd., Suite 613
Los Angeles, CA 90024
Phone (310) 391-4901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255543765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD., SUITE 613",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-391-4901",
"fax_number": "310-313-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD., SUITE 613",
"city": "LOS ANGELES,",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-391-4901",
"fax_number": "310-313-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDYAN",
"first_name": "RONIT",
"credential": "LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "17932",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.