Individual provider Active NPI

Dimitri Peter Yagdjis, C.P.O.

  • Prosthetics Case Management
  • Van Nuys, CA
National Provider Identifier
1609834274
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CPO02371 Issued in CA
Practice address
16122 Covello St
Van Nuys, CA 91406-2910
Phone
(818) 988-5414
Fax
(818) 988-5415
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CPO02371 CA Primary

Addresses

Primary practice location

16122 Covello St
Van Nuys, CA 91406-2910

Mailing address

8629 Kelvin Ave
Winnetka, CA 91306-1254
Phone (818) 321-6829

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPO02371CAMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609834274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 KELVIN AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061254",
            "telephone_number": "818-321-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 COVELLO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062910",
            "telephone_number": "818-988-5414",
            "fax_number": "818-988-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGDJIS",
        "first_name": "DIMITRI",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "CPO02371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.