Active NPI
Jarrick Serdar
- Physical Therapist
- San Diego, CA
National Provider Identifier
1063323384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 501 W Broadway
San Diego, CA 92101-3536 - Phone
- (619) 237-9027
- NPI assigned
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
501 W Broadway
San Diego, CA 92101-3536
Mailing address
4338 Mississippi St Apt 9
San Diego, CA 92104-1132
Other practice location 1
120 C Ave Ste 110
Coronado, CA 92118-1992
Phone (858) 225-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1063323384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4338 MISSISSIPPI ST APT 9",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W BROADWAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013536",
"telephone_number": "619-237-9027"
}
],
"practiceLocations": [
{
"address_1": "120 C Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Coronado",
"state": "CA",
"postal_code": "921181992",
"country_code": "US",
"telephone_number": "858-225-7222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERDAR",
"first_name": "JARRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.