Active NPI
Olga Tabarovskaya, D.C.
- Chiropractor
- West Hollywood, CA
National Provider Identifier
1710091152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30275
- Practice address
- 8205 Santa Monica Blvd
Suite 12-B
West Hollywood, CA 90046-5977 - Phone
- (323) 819-5099
- Fax
- (323) 656-5115
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30275 | CA | Primary |
Addresses
Primary practice location
8205 Santa Monica Blvd
Suite 12-B
West Hollywood, CA 90046-5977
Mailing address
8205 Santa Monica Blvd
Suite 12-B
West Hollywood, CA 90046-5977
Phone (323) 819-5099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061108000350 | CA | Practitioner - Chiropractic | 9739186545 | Practice locations: West Hollywood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8205 Santa Monica Blvd
Suite 12B
West Hollywood, CA 90046-6159
Phone (323) 819-5099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30275 | CA | MD | Chiropractor |
| 30275 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olga Tabarovskaya | 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 and National Provider Directory roles.
-
- Chiropractor
- West Hollywood, CA
- NPI 1093818247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1710091152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 SANTA MONICA BLVD",
"address_2": "SUITE 12-B",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465977",
"telephone_number": "323-819-5099",
"fax_number": "323-656-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205 SANTA MONICA BLVD",
"address_2": "SUITE 12-B",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465977",
"telephone_number": "323-819-5099",
"fax_number": "323-656-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABAROVSKAYA",
"first_name": "OLGA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.