Organization Active NPI

Esudri Chiropractic Apc

  • Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1538501820
Registry record updated Jul 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26546 Issued in CA
Legal business name
ESUDRI CHIROPRACTIC APC
Practice address
6400 Canoga Ave Ste 333
Woodland Hills, CA 91367-2492
Phone
(818) 710-0800
NPI assigned
Jul 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2013

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

Authorized official

Name
David Esudri, D.C.NPI 1326073149
Title
President
Phone
(818) 710-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26546 CA Primary

Addresses

Primary practice location

6400 Canoga Ave Ste 333
Woodland Hills, CA 91367-2492

Mailing address

6400 Canoga Ave Ste 333
Woodland Hills, CA 91367-2492
Phone (818) 710-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001460 CA Part B Supplier - Clinic/Group Practice 8628038601 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374883200000",
    "number": "1538501820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE STE 333",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672492",
            "telephone_number": "818-710-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE STE 333",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672492",
            "telephone_number": "818-710-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESUDRI CHIROPRACTIC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-27",
        "last_updated": "2013-07-27",
        "status": "A",
        "authorized_official_last_name": "ESUDRI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-710-0800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2013; 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.