Individual provider Active NPI

Ziad Dahdul, DPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1467761395
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37147 Issued in CA
Practice address
3294 E Spring St
Long Beach, CA 90806-2426
Phone
(562) 988-3570
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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 37147 CA Primary

Addresses

Primary practice location

3294 E Spring St
Long Beach, CA 90806-2426

Mailing address

11943 Gonsalves St
Cerritos, CA 90703-7523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000372 CA Practitioner - Physical Therapist in Private Practice 5991987539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Phyzio and Sports Performance IncGroup PAC ID 0042649584, 8 clinicians

Practice addresses (Care Compare)

2121 E Lambert Rd
Suite 306
La Habra, CA 90631-5768
Phone (714) 335-3182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Physical Therapy & Sports Performance Inc CurrentSince Aug 1, 2021 Accepting new patients
Ignite Phyzio & Sports Performance Inc CurrentSince Jan 20, 2020 Accepting new patients
Ignite Phyziotherapy & Athletics CurrentSince Jun 1, 2018 Accepting new patients
Physical Therapy of Newport, Inc. Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients

Locations

8575 Knott Ave
Buena Park, CA 90620
Phone (714) 335-3182

2925 Airway Ave
Ste A
Costa Mesa, CA 92626
Phone (714) 335-3182

2121 E Lambert Rd
Ste 306
La Habra, CA 90631

811 E Lambert Rd
La Habra, CA 90631
Phone (562) 896-0129

747 Dover Dr
Newport Beach, CA 92663
Phone (714) 335-3182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1467761395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 GONSALVES ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062426",
            "telephone_number": "562-988-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHDUL",
        "first_name": "ZIAD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.