Individual provider Active NPI

Sidney Yadidi, DC

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1942592811
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31883 Issued in CA
Practice address
2116 Wilshire Blvd Ste 245
Santa Monica, CA 90403-5749
Phone
(424) 235-8787
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31883 CA Primary

Addresses

Primary practice location

2116 Wilshire Blvd Ste 245
Santa Monica, CA 90403-5749

Mailing address

2116 Wilshire Blvd Ste 245
Santa Monica, CA 90403-5749
Phone (424) 235-8787

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
31883CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Yadidi Chiropractic Chiropractor CurrentSince Jun 8, 2025 Accepting new patients
Pourteymoor Acupuncture, a Professional Corporation Past Accepting new patients
Marine Therapeutic Past Accepting new patients

Locations

2444 Wilshire Blvd
Ste 511
Santa Monica, CA 90403
Phone (310) 972-9456

Organizations & group practices 3

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1942592811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 WILSHIRE BLVD STE 245",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035749",
            "telephone_number": "424-235-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 WILSHIRE BLVD STE 245",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035749",
            "telephone_number": "424-235-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADIDI",
        "first_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.