Individual provider Active NPI

Fouad Ardaghi

  • Physical Therapy Assistant
  • Tarzana, CA
National Provider Identifier
1003596271
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
52654 Issued in CA
Practice address
18607 Ventura Blvd Ste 106
Tarzana, CA 91356-4156
Phone
(818) 975-8203
NPI assigned
Jul 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 52654 CA Primary

Addresses

Primary practice location

18607 Ventura Blvd Ste 106
Tarzana, CA 91356-4156

Mailing address

18607 Ventura Blvd Ste 106
Tarzana, CA 91356-4156
Phone (818) 975-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52654CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare Physical Therapy Inc CurrentSince Jul 23, 2023 Accepting new patients

Locations

18607 Ventura Blvd
Ste 106
Tarzana, CA 91356
Phone (818) 975-8203

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1003596271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 106",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564156",
            "telephone_number": "818-975-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 106",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564156",
            "telephone_number": "818-975-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDAGHI",
        "first_name": "FOUAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.