Individual provider Active NPI

Yury Gampel, DC

  • Chiropractor
  • Tarzana, CA
National Provider Identifier
1942329743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24992 Issued in CA
Practice address
19100 Ventura Blvd Ste P
Tarzana, CA 91356-3238
Phone
(818) 262-6423
Fax
(818) 344-2686
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24992 CA Primary

Addresses

Primary practice location

19100 Ventura Blvd Ste P
Tarzana, CA 91356-3238

Mailing address

19100 Ventura Blvd Ste P
Tarzana, CA 91356-3238
Phone (818) 262-6423

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

LicenseStateTypeSpecialty
DC24992CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Therapy & Rehabilitation Center Inc Chiropractor Past Accepting new patients
Healing Center of Tarzana Medical Group Chiropractor 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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942329743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD STE P",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563238",
            "telephone_number": "818-262-6423",
            "fax_number": "818-344-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD STE P",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563238",
            "telephone_number": "818-262-6423",
            "fax_number": "818-344-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMPEL",
        "first_name": "YURY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.