Rusudan Dediashvili Chiropractic Corp.
NPI 1770756892ActiveOrganization· Chiropractor· Van Nuys, CA
Chiropractor in Van Nuys, California, registered in NPPES in April 2008. The authorized official on file is Rusudan Dediashvili, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770756892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2008 |
| Last updated in NPPES | May 28, 2020 |
| Certified by provider | May 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | DC0255610 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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