Dr Jack Bendavid, DC is a medicare enrolled "Chiropractor" provider in Valley Glen, California. His current practice location is
12444 Victory Blvd Ste 103, Valley Glen, California. You can reach out to his office (for appointments etc.) via phone at
(818) 755-8588.
Dr Jack Bendavid is licensed to practice in California (license number 22285) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891878872.
Healthcare Provider's Profile
Full Name | Dr Jack Bendavid |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 12444 Victory Blvd Ste 103, Valley Glen, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891878872
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 04/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719076157
- Enrollment ID: I20071207000506
Medical Identifiers
Medical identifiers for Dr Jack Bendavid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891878872 | NPI | - | NPPES |
1891878872 | Other | CA | NPI# |
H-98-40451-4 | Other | CA | DEPT HEALTH/HUMAN SERVICES OI FILE # |
68-0603965 | Other | CA | TAX ID # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 22285 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Bendavid is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jack Bendavid, DC 6107 Bluebell Ave, North Hollywood, CA 91606-4414 Ph: (818) 755-8588 | Dr Jack Bendavid, DC 12444 Victory Blvd Ste 103, Valley Glen, CA 91606-3156 Ph: (818) 755-8588 |
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