Individual provider Active NPI

Robert Zeravica, D.C.

  • Chiropractor
  • North Hollywood, CA
National Provider Identifier
1417125394
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26527 Issued in CA
Practice address
4444 Lankershim Blvd Ste 105
North Hollywood, CA 91602-2357
Phone
(805) 622-7632
NPI assigned
Feb 13, 2008
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26527 CA Primary

Addresses

Primary practice location

4444 Lankershim Blvd Ste 105
North Hollywood, CA 91602-2357

Mailing address

4444 Lankershim Blvd Ste 105
North Hollywood, CA 91602-2357
Phone (805) 622-7632

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

LicenseStateTypeSpecialty
DC26527CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cocain Chiropractic Corporation Chiropractor 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1417125394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 LANKERSHIM BLVD STE 105",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022357",
            "telephone_number": "805-622-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 LANKERSHIM BLVD STE 105",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022357",
            "telephone_number": "805-622-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERAVICA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.