Jonathan Faigen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT295792 Issued in CA

Practice address

520 Superior Ave Ste 100
Newport Beach, CA 92663-3671

Phone

(949) 764-5645

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Hoag Memorial Hospital Presbyterian

  • Rehabilitation Hospital Unit
  • Newport Beach, CA
  • NPI 1750875670
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1104396019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633671",
            "telephone_number": "949-764-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIGEN",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F Farokian DDS Inc.
• Renee Fabrizi, PA-C
• Fabrizio Physical Therapy and Sports Medicine Newport PC
• Faculty Physicians and Surgeons of Llusm
• Samantha Fahey
• Keyla Gisselle Fajardo
• Mitchell Thomas Fallon, PA-C
• Jalin Fan
• Lauren E Fanning, M.D.
• Navid Farahmand, MD

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.