Anatoly Bondarev, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21902 Issued in CA

Practice address

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

Phone

(323) 650-5530

Fax

(323) 650-5539

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bondarev Chiropractic, Inc.

  • Chiropractor
  • West Hollywood, CA
  • NPI 1508146978
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1740316348",
    "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": {
        "last_name": "BONDAREV",
        "first_name": "ANATOLY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DC21902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Batbold Boldbaatar, MD, PHD
• Maritza Bollain Y Goytia
• Drew Bolster, MD
• David J. Bonda, MD
• Bondarev Chiropractic, Inc.
• Saniya Bonde
• 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 Sep 21, 2016; 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.