NPIMap

Organization Active NPI

The Physiatry Medical Group, Inc

  • Physical Medicine & Rehabilitation Physician
  • Redwood City, CA
National Provider Identifier
1376601542
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
THE PHYSIATRY MEDICAL GROUP, INC
Practice address
400 Seaport CT Ste 201
Redwood City, CA 94063-2767
Phone
(650) 995-1259
Fax
(650) 995-1272
NPI assigned
Dec 4, 2006
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Jeffrey A SaalNPI 1285692640
Title
President
Phone
(650) 851-4900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X

Addresses

Primary practice location

400 Seaport CT Ste 201
Redwood City, CA 94063-2767

Mailing address

400 Seaport CT Ste 201
Redwood City, CA 94063-2767
Phone (650) 995-1259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091202000295 CA Part B Supplier - Clinic/Group Practice 1557442944 Receives reassigned benefits from 9 practitioners
Practice locations: Los Gatos, CA; Santa Clara, CA; San Jose, CA; Redwood City, CA
O20100930074107 CA DME Supplier - Physician - Physical and Rehabilitation 1557442944 Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

15047 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-2774

400 Seaport Ct
Ste 201
Redwood City, CA 94063
Phone (650) 995-1259

500 Arguello St
Fl 1
Redwood City, CA 94063
Phone (650) 851-4900

4675 Stevens Creek Blvd
Ste 230
Santa Clara, CA 95051
Phone (408) 423-8076

Interoperability endpoints

  • Direct secure messaging: christopherbonzon@tpmg.allscriptsdirect.net
  • Direct secure messaging: geraldkeane@tpmg.allscriptsdirect.net
  • Direct secure messaging: jeffreysaal@tpmg.allscriptsdirect.net
  • Direct secure messaging: joelsaal@tpmg.allscriptsdirect.net
  • Direct secure messaging: neetibathia@tpmg.allscriptsdirect.net
  • Direct secure messaging: robertgamburd@tpmg.allscriptsdirect.net
  • Direct secure messaging: robertmillard@tpmg.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1376601542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SEAPORT CT STE 201",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632767",
            "telephone_number": "650-995-1259",
            "fax_number": "650-995-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SEAPORT CT STE 201",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632767",
            "telephone_number": "650-995-1259",
            "fax_number": "650-995-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSIATRY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "SAAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-851-4900"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.