Individual provider Active NPI

Behruz Yusufbekov, DC

  • Chiropractor
  • Beverly Hills, CA
National Provider Identifier
1295256600
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1413 Issued in HI
Practice address
9478 W Olympic Blvd
PH
Beverly Hills, CA 90212
Phone
(310) 556-8071
Fax
(310) 556-3880
NPI assigned
Jul 6, 2017
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34001 CA
Chiropractor 111N00000X CHR.0007637 CO
Chiropractor 111N00000X DC-1413 HI Primary

Addresses

Primary practice location

9478 W Olympic Blvd
PH
Beverly Hills, CA 90212

Mailing address

92-1309 Kuamu St
Kapolei, HI 96707-1555
Phone (720) 257-4242

Other practice location 1

13164 E Linvale Pl
Aurora, CO 80014-3472
Phone (720) 257-4242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001966 HI Practitioner - Chiropractic 8224370846 Practice locations: Aiea, HI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

99 -128 Aiea Heights Dr
Suite 301
Aiea, HI 96701-3933
Phone (808) 755-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001CAMDChiropractor
CHR.0007637COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1295256600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1309 KUAMU ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071555",
            "telephone_number": "720-257-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9478 W OLYMPIC BLVD",
            "address_2": "PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-556-8071",
            "fax_number": "310-556-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13164 E Linvale Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800143472",
            "country_code": "US",
            "telephone_number": "720-257-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSUFBEKOV",
        "first_name": "BEHRUZ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34001",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007637",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.