NPIMap

Organization Active NPI

Hooman M. Javanmardi, Physical Therapist, a Professional Corporation

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1306163142
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26950 Issued in CA
Legal business name
HOOMAN M. JAVANMARDI, PHYSICAL THERAPIST, A PROFESSIONAL CORPORATION
Practice address
3421 Arlington Ave Ste 105
Riverside, CA 92506-3201
Phone
(951) 315-3672
Fax
(951) 934-0555
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Dr. Hooman Mehdi Javanmardi, DPTNPI 1679890339
Title
President
Phone
(800) 758-0097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 26950 CA Primary

Addresses

Primary practice location

3421 Arlington Ave Ste 105
Riverside, CA 92506-3201

Mailing address

3421 Arlington Ave Ste 105
Riverside, CA 92506-3201
Phone (951) 684-2865

Other names 2

  • PRIME Therapy & Pain Center Doing business as
  • Hooman M Javanmardi PT PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100726000224 CA Part B Supplier - Clinic/Group Practice 1254463318 Receives reassigned benefits from 4 practitioners
Practice locations: Riverside, CA; Tustin, CA

National Provider Directory

National Provider Directory
Tax ID family
Hooman M Javanmardi PT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3427 Arlington Ave
Riverside, CA 92506
Phone (800) 758-0097

3421 Arlington Ave
Ste 105
Riverside, CA 92506
Phone (800) 758-0097

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1306163142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 ARLINGTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063201",
            "telephone_number": "951-684-2865",
            "fax_number": "951-934-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 ARLINGTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063201",
            "telephone_number": "951-315-3672",
            "fax_number": "951-934-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOMAN M. JAVANMARDI, PHYSICAL THERAPIST, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "JAVANMARDI",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_middle_name": "MEHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-758-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME Therapy & Pain Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hooman M Javanmardi PT PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hooman M Javanmardi PT PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.