Individual provider Active NPI

Nayer Nazeer Ragheb, PHYSICAL THERAPIST

  • Physical Therapist
  • Perris, CA
National Provider Identifier
1093739526
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27539 Issued in CA
Practice address
2226 Medical Center Dr Ste 102
Perris, CA 92571-2657
Phone
(951) 657-1400
Fax
(951) 657-0661
NPI assigned
Jul 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27539 CA Primary

Addresses

Primary practice location

2226 Medical Center Dr Ste 102
Perris, CA 92571-2657

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140506002275 CA Practitioner - Physical Therapist in Private Practice 8022241637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, 35 clinicians

Practice addresses (Care Compare)

27455 Tierra Alta Way
Suite a
Temecula, CA 92590-3498
Phone (951) 699-5282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27539CAMDProsthodontist
PT27539CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince Dec 21, 2015 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Dec 21, 2015 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients

Locations

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093739526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "714-367-5360",
            "fax_number": "714-635-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 MEDICAL CENTER DR STE 102",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712657",
            "telephone_number": "951-657-1400",
            "fax_number": "951-657-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHEB",
        "first_name": "NAYER",
        "middle_name": "NAZEER",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.