Individual provider Active NPI

Olga Tabarovskaya, D.C.

  • Chiropractor
  • West Hollywood, CA
National Provider Identifier
1710091152
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30275 Issued in CA
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

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC30275CAMDChiropractor
30275CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Olga Tabarovskaya Chiropractor PastSince Feb 3, 2010 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.

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.

Verify at the official NPI Registry.