Active NPI
Mahyar David Yadidi, D.C.
- Chiropractor
- Beverly Hills, CA
National Provider Identifier
1760780597
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.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31098
- 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
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 | 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31098 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Healthcare & Wellness Center | 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.
-
- Rehabilitation Chiropractor
- San Pedro, CA
- NPI 1871922690
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.