Individual provider Active NPI

Vahid Kabiri, PT

  • Orthopedic Physical Therapist
  • Mission Viejo, CA
National Provider Identifier
1457741316
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT24232 Issued in CA
Practice address
26941 Colmenar
Mission Viejo, CA 92692-3406
Phone
(949) 484-3000
Fax
(949) 215-4281
NPI assigned
Jan 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24232 CA
Ergonomics Physical Therapist 2251E1200X PT24232 CA
Orthopedic Physical Therapist 2251X0800X PT24232 CA Primary

Addresses

Primary practice location

26941 Colmenar
Mission Viejo, CA 92692-3406

Mailing address

26941 Colmenar
Mission Viejo, CA 92692-3406
Phone (949) 484-3000

Other identifiers 1

IdentifierTypeStateIssuer
PT24232OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT24232CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1457741316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26941 COLMENAR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923406",
            "telephone_number": "949-484-3000",
            "fax_number": "949-215-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26941 COLMENAR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923406",
            "telephone_number": "949-484-3000",
            "fax_number": "949-215-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABIRI",
        "first_name": "VAHID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24232",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT24232",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT24232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT24232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.