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BONDAREV CHIROPRACTIC, INC.
NPI 1508146978
Chiropractor in West Hollywood, CA

Active since August 17, 2011
1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046(323) 650-5530(323) 650-5539 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bondarev Chiropractic, Inc. NPPES

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

BONDAREV CHIROPRACTIC, INC. (NPI 1508146978) is a healthcare organization registered as a chiropractor in West Hollywood, California and active in the NPI registry since August 2011. The organization lists Anatoly Bondarev, President, as its authorized official.

NPPES Registry Identity

NPI1508146978
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBONDAREV CHIROPRACTIC, INC.
Location Address1019 N FAIRFAX AVE, 101West Hollywood, CA 90046-6160
Mailing Address1019 N Fairfax Ave, 101West Hollywood, CA 90046-6160 · (323) 650-5530 · Fax (323) 650-5539
Phone(323) 650-5530
Fax(323) 650-5539
Organization SubpartNo
Authorized OfficialAnatoly BondarevPresident · (323) 650-5530
Enumeration DateAugust 17, 2011
✔ NPI 1508146978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC21902
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.
1019 N FAIRFAX AVE, West Hollywood, CA 90046
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bondarev Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111005000374Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bondarev Chiropractic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Anatoly Bondarev, DC
Chiropractic
NPI 1740316348
1019 N FAIRFAX AVE 101
West Hollywood, CA 90046
(323) 650-5530
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bondarev Chiropractic, Inc.'s NPI number?

The NPI number for Bondarev Chiropractic, Inc. is 1508146978. It was assigned to this organization in the NPPES registry on August 17, 2011.

Where is Bondarev Chiropractic, Inc. located?

Bondarev Chiropractic, Inc. is located at 1019 N Fairfax Ave 101, West Hollywood, CA 90046. The listed phone number is (323) 650-5530.

What is Bondarev Chiropractic, Inc.'s specialty?

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

Is Bondarev Chiropractic, Inc. enrolled in Medicare?

Yes. Bondarev Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

When is Bondarev Chiropractic, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bondarev Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bondarev Chiropractic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bondarev Chiropractic, Inc. was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.