1. Home
  2. Directory
  3. California
  4. Valley Glen
  5. Chiropractor
  6. NPI Profile

DR. JACK BENDAVID D.C.
NPI 1891878872
Chiropractor in Valley Glen, CA

Active since October 23, 2006
12444 VICTORY BLVD STE 103, VALLEY GLEN, CA 91606(818) 755-8588(818) 755-8561 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Bendavid D.c. NPPES

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

DR. JACK BENDAVID D.C. (NPI 1891878872) is an individual chiropractor in Valley Glen, California, licensed in California (22285) and active in the NPI registry since October 2006. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1891878872
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK BENDAVIDCredential: D.C.
Location Address12444 VICTORY BLVD STE 103Valley Glen, CA 91606-3156
Mailing Address6107 Bluebell AveNorth Hollywood, CA 91606-4414 · (818) 755-8588 · Fax (818) 755-8861
Phone(818) 755-8588
Fax(818) 755-8561
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1891878872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 22285
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.
12444 VICTORY BLVD STE 103, Valley Glen, CA 91606
Open in Google Maps ↗

Other Names 1

Other Name (5)Jacques Bendavid D.c.

Other Identifiers 3

Other1891878872CA · Npi#
OtherH-98-40451-4CA · Dept Health/human Services Oi File #
Other68-0603965CA · Tax Id #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Bendavid D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719076157
PECOS Enrollment IDI20071207000506

Other Providers at the Same Location NPPES

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

BOONSITA TANGSOPON
Acupuncturist
12444 VICTORY BLVD STE 103
NORTH HOLLYWOOD, CA 91606
Los Angeles County (747) 203-4951

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 Jack Bendavid's NPI number?

The NPI number for Jack Bendavid is 1891878872. It was assigned to this individual provider in the NPPES registry on October 23, 2006. The provider is also known as Jacques Bendavid D.C..

Where is Jack Bendavid located?

Jack Bendavid practices at 12444 Victory Blvd Ste 103, Valley Glen, CA 91606. The listed phone number is (818) 755-8588.

What is Jack Bendavid's specialty?

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

Is Jack Bendavid enrolled in Medicare?

Yes. Jack Bendavid is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Bendavid was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.