Individual provider Active NPI

Negeene Mosaed, PT

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1316193311
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19638 Issued in CA
Practice address
73221 Highway 111 Ste a
Palm Desert, CA 92260-3907
Phone
(760) 773-2179
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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 19638 CA Primary

Addresses

Primary practice location

73221 Highway 111 Ste a
Palm Desert, CA 92260-3907

Mailing address

1 Silver Cir
Rancho Mirage, CA 92270-1919
Phone (760) 202-7544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000598 CA Practitioner - Physical Therapist in Private Practice 8325106057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Community Physical Therapy IncGroup PAC ID 3971836578, 3 clinicians

Practice addresses (Care Compare)

1834 University Ave
Berkeley, CA 94703-1516
Phone (510) 549-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Community Physical Therapy Inc Physical Therapist CurrentSince May 1, 2019 Accepting new patients

Locations

1834 University Ave
Berkeley, CA 94703
Phone (510) 549-2225

2041 Bancroft Way
Ste 301
Berkeley, CA 94704
Phone (510) 549-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1316193311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SILVER CIR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701919",
            "telephone_number": "760-202-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73221 HIGHWAY 111 STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603907",
            "telephone_number": "760-773-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSAED",
        "first_name": "NEGEENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.