Farshid Farajzadeh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20075 Issued in CA

Practice address

4501 Mission Bay Dr Ste 3K
San Diego, CA 92109-4926

Phone

(858) 866-0340

Fax

(858) 866-0342

NPI assigned

Apr 19, 2007

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CRS Physical Therapy Inc.Group PAC ID 1355508433, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CRS Physical Therapy Inc.

  dba Ocean Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1265478358
  Medicare reassignment Care Compare group NPD
• Prava PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1841003753
  NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1326265422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR",
            "address_2": "STE 3K",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094926",
            "telephone_number": "858-531-3700",
            "fax_number": "858-866-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 3K",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094926",
            "telephone_number": "858-866-0340",
            "fax_number": "858-866-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAJZADEH",
        "first_name": "FARSHID",
        "name_prefix": "Mr.",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSCIAL THERAPY LIC #",
            "identifier": "PT20075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Farahanchi, MS DC
• Kasha Farahani, DPT
• Khodayar Farahmand, PHARMD
• Salome Faraj
• Farhoud Faraji, MD, PHD
• Arman Faravardeh, M.D., F.A.C.P.
• Brian Farb, PA
• Erika Fardanesh, RBT
• Hope Roya Fardanesh, DO
• Kathleen Fares, RN

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.