Active NPI
Paymon Sedaghat-Yazdi, DPT
- Physical Therapist
- Los Gatos, CA
National Provider Identifier
1174067995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292326
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Physical Therapy Solutions, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Santa Clara, CA
- NPI 1972951903
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.