Gabriel Yehuda Edery, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32583 Issued in CA

Practice address

22311 Ventura Blvd Ste 116
Woodland Hills, CA 91364-1556

Phone

(818) 651-3252

Fax

(747) 242-1300

NPI assigned

Apr 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gabriel Y. Edery, D.C. Chiropractic, Inc.

  • Chiropractor
  • Woodland Hills, CA
  • NPI 1033570916
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1265875199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22311 VENTURA BLVD STE 116",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641556",
            "telephone_number": "818-651-3252",
            "fax_number": "747-242-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22311 VENTURA BLVD STE 116",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641556",
            "telephone_number": "818-651-3252",
            "fax_number": "747-242-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDERY",
        "first_name": "GABRIEL",
        "middle_name": "YEHUDA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.

Verify at the official NPI Registry.