Bondarev Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21902 Issued in CA

Legal business name

BONDAREV CHIROPRACTIC, INC.

Practice address

1019 N Fairfax Ave
101
West Hollywood, CA 90046-6160

Phone

(323) 650-5530

Fax

(323) 650-5539

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anatoly Bondarev, DCNPI 1740316348

Title

President

Phone

(323) 650-5530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anatoly Bondarev, DC

  • Chiropractor
  • West Hollywood, CA
  • NPI 1740316348
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1508146978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N FAIRFAX AVE",
            "address_2": "101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466160",
            "telephone_number": "323-650-5530",
            "fax_number": "323-650-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N FAIRFAX AVE",
            "address_2": "101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466160",
            "telephone_number": "323-650-5530",
            "fax_number": "323-650-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONDAREV CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "BONDAREV",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-650-5530",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesco Boin, M.D.
• Batbold Boldbaatar, MD, PHD
• Maritza Bollain Y Goytia
• Drew Bolster, MD
• David J. Bonda, MD
• Anatoly Bondarev, DC
• Charllie Bongolan, FNP-BC
• Alison Katherine Bonk, N. P.
• Michael Jeremy De Mesa Bonsol, D.C.
• Nicholas Boonsukha

• Chiropractor in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.