RUSUDAN DEDIASHVILI D.C.
NPI 1134311509
Chiropractor in Van Nuys, CA

Q: What is Rusudan Dediashvili's NPI number?

The NPI number for Rusudan Dediashvili is 1134311509. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Rusudan Dediashvili's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 09, 2007Accepts Medicare Assignment

13760 VICTORY BLVD, VAN NUYS, CA 91401(818) 922-7713(323) 965-1411 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rusudan Dediashvili D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSUDAN DEDIASHVILI D.C. (NPI 1134311509) is an individual chiropractor in Van Nuys, California, licensed in California (D.C. 25561) and active in the NPI registry since August 2007. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1134311509

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameRUSUDAN DEDIASHVILICredential: D.C.

Location Address13760 VICTORY BLVDVan Nuys, CA 91401-2324

Mailing Address13760 Victory BlvdVan Nuys, CA 91401-2324 · (818) 922-7713 · Fax (323) 965-1411

Phone(818) 922-7713

Fax(323) 965-1411

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 9, 2007

Last NPPES UpdateSeptember 18, 2014

✔ NPI 1134311509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · D.C. 25561

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

13760 VICTORY BLVD, Van Nuys, CA 91401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rusudan Dediashvili D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567429806

PECOS Enrollment IDI20041218000148

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

618 services37 patients

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

155 services21 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSUDAN DEDIASHVILI CHIROPRACTIC CORP.

Chiropractor

13760 VICTORY BLVD
VAN NUYS, CA 91401

Los Angeles County (818) 922-7713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rusudan Dediashvili's NPI number?

The NPI number for Rusudan Dediashvili is 1134311509. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Rusudan Dediashvili located?

Rusudan Dediashvili practices at 13760 Victory Blvd, Van Nuys, CA 91401. The listed phone number is (818) 922-7713.

What is Rusudan Dediashvili's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Rusudan Dediashvili enrolled in Medicare?

Yes. Rusudan Dediashvili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rusudan Dediashvili accept?

Health plans from Providence Health Plan list Rusudan Dediashvili as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rusudan Dediashvili was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.