Individual provider Active NPI

Mahyar David Yadidi, D.C.

  • Chiropractor
  • Beverly Hills, CA
National Provider Identifier
1760780597
Registry record updated Apr 9, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jan 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31098 Issued in CA
Practice address
9160 Beverly Blvd Apt 304
Beverly Hills, CA 90210-4001
Phone
(310) 859-1884
NPI assigned
Mar 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31098 CA Primary

Addresses

Primary practice location

9160 Beverly Blvd Apt 304
Beverly Hills, CA 90210-4001

Mailing address

1440 Veteran Ave Apt 604
Los Angeles, CA 90024-4883
Phone (310) 666-4721

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC31098CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare & Wellness Center PastSince Oct 1, 2014 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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1760780597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 VETERAN AVE APT 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244883",
            "telephone_number": "310-666-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BEVERLY BLVD APT 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104001",
            "telephone_number": "310-859-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADIDI",
        "first_name": "MAHYAR",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.