Individual provider Active NPI

Paymon Sedaghat-Yazdi, DPT

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1174067995
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292326 Issued in CA
Practice address
291 E Main St
Suite E
Los Gatos, CA 95030-6137
Phone
(408) 979-2300
Fax
(408) 979-2306
NPI assigned
Dec 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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 292326 CA Primary

Addresses

Primary practice location

291 E Main St
Suite E
Los Gatos, CA 95030-6137

Mailing address

291 E Main St
Suite E
Los Gatos, CA 95030-6137
Phone (408) 979-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001288 CA Practitioner - Physical Therapist in Private Practice 2264713320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialized Physical Therapy Solutions, IncGroup PAC ID 1355633710, 4 clinicians

Practice addresses (Care Compare)

2200 Lafayette St
Suite 4
Santa Clara, CA 95050-2915
Phone (408) 753-9988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Physical Therapy Solutions, Inc. Physical Therapist CurrentSince Apr 29, 2020 Accepting new patients

Locations

2200 Lafayette St
Ste 4
Santa Clara, CA 95050
Phone (408) 753-9988

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1174067995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST",
            "address_2": "SUITE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-979-2300",
            "fax_number": "408-979-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST",
            "address_2": "SUITE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-979-2300",
            "fax_number": "408-979-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHAT-YAZDI",
        "first_name": "PAYMON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.