Active NPI
Elina Adibi, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1780924779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A658490
- Practice address
- 1016 S Robertson Blvd
Los Angeles, CA 90035-1505 - Phone
- (310) 652-9283
- Fax
- (310) 652-9292
- NPI assigned
- Feb 27, 2013
- 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 | A658490 | CA | Primary |
Addresses
Primary practice location
1016 S Robertson Blvd
Los Angeles, CA 90035-1505
Mailing address
1016 S Robertson Blvd
Los Angeles, CA 90035-1505
Phone (310) 652-9283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A65490 | Other | CA | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A658490 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom Pain Treatment Medical Center Inc | Past | Accepting new patients | |
| Frontier Medical Group Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1902191125
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1598726531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1780924779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351505",
"telephone_number": "310-652-9283",
"fax_number": "310-652-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351505",
"telephone_number": "310-652-9283",
"fax_number": "310-652-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIBI",
"first_name": "ELINA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "A658490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A65490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.