Individual provider Active NPI

Yevgeny Smolyar

  • Driver
  • Van Nuys, CA
National Provider Identifier
1891344016
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
14943 Califa St
Van Nuys, CA 91411-3002
Phone
(818) 488-5080
Fax
(818) 933-0927
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

14943 Califa St
Van Nuys, CA 91411-3002

Mailing address

14943 Califa St
Van Nuys, CA 91411-3002
Phone (818) 488-5080

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

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1891344016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14943 CALIFA ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113002",
            "telephone_number": "818-488-5080",
            "fax_number": "818-933-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14943 CALIFA ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113002",
            "telephone_number": "818-488-5080",
            "fax_number": "818-933-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLYAR",
        "first_name": "YEVGENY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.