1. Home
  2. Directory
  3. California
  4. Marina Del Rey
  5. Chiropractor
  6. NPI Profile

DR. CERGEI WALTER KLISHEVICH D.C.
NPI 1508904244
Chiropractor in Marina Del Rey, CA

Active since February 02, 2007Accepts Medicare Assignment
4560 ADMIRALTY WAY STE 302, MARINA DEL REY, CA 90292(310) 578-9333(310) 578-9334 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cergei Walter Klishevich D.c. NPPES

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

DR. CERGEI WALTER KLISHEVICH D.C. (NPI 1508904244) is an individual chiropractor in Marina Del Rey, California, licensed in California (DC21026) and active in the NPI registry since February 2007. He is a graduate of Cleveland Chiropractic College - Los Angeles (1989).

NPPES Registry Identity

NPI1508904244
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CERGEI WALTER KLISHEVICHCredential: D.C.
Location Address4560 ADMIRALTY WAY STE 302Marina Del Rey, CA 90292-5426
Mailing Address4560 Admiralty Way Ste 302Marina Del Rey, CA 90292-5426 · (310) 578-8419 · Fax (310) 578-9334
Phone(310) 578-9333
Fax(310) 578-9334
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1989
Enumeration DateFebruary 2, 2007
Last NPPES UpdateNovember 17, 2011
✔ NPI 1508904244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC21026
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.
4560 ADMIRALTY WAY STE 302, Marina Del Rey, CA 90292
Open in Google Maps ↗

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

Dr. Cergei Walter Klishevich 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 ID5890952162
PECOS Enrollment IDI20120130000610

Areas of Expertise CMS Part B claims

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, 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.
60 services13 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.

MS. SHIEVON L CAMMON NUTRITIONIST, MSACN
Nutritionist (Nutrition, Education)
4560 ADMIRALTY WAY STE 302
MARINA DEL REY, CA 90292
Los Angeles County (310) 703-6836

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 Cergei Klishevich's NPI number?

The NPI number for Cergei Klishevich is 1508904244. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Cergei Klishevich located?

Cergei Klishevich practices at 4560 Admiralty Way Ste 302, Marina Del Rey, CA 90292. The listed phone number is (310) 578-9333.

What is Cergei Klishevich's specialty?

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

Is Cergei Klishevich enrolled in Medicare?

Yes. Cergei Klishevich 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 Cergei Klishevich accept?

Health plans from Providence Health Plan list Cergei Klishevich 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 Cergei Klishevich was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.