Individual provider Active NPI

Seyed Ehsan Haeri

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1144093428
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304984 Issued in CA
Practice address
1855 Cochran St Ste 109
Simi Valley, CA 93065-2265
Phone
(805) 526-2311
Fax
(805) 526-6608
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 304984 CA Primary

Addresses

Primary practice location

1855 Cochran St Ste 109
Simi Valley, CA 93065-2265

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110004672 CA Practitioner - Physical Therapist in Private Practice 2860843109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Orthopedics Medical Group IncGroup PAC ID 2062312911, 79 clinicians

Practice addresses (Care Compare)

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone (805) 379-4574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. Current Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Oct 30, 2023 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Oct 30, 2023 Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

3901 Las Posas Rd
Ste 8
Camarillo, CA 93010
Phone (805) 273-8324

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

1855 Cochran St
Ste 109
Simi Valley, CA 93065
Phone (805) 526-2311

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1144093428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 COCHRAN ST STE 109",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652265",
            "telephone_number": "805-526-2311",
            "fax_number": "805-526-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERI",
        "first_name": "SEYED EHSAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.