Individual provider Active NPI

Majid Saedifar, R.P.T.

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1538212873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 12100 Issued in CA
Practice address
980 Atlantic Ave
3Rd Floor
Long Beach, CA 90813-4570
Phone
(562) 624-0766
Fax
(562) 624-1150
NPI assigned
Jan 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 12100 CA Primary

Addresses

Primary practice location

980 Atlantic Ave
3Rd Floor
Long Beach, CA 90813-4570

Mailing address

980 Atlantic Ave
3Rd Floor
Long Beach, CA 90813-4570
Phone (562) 624-0766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000052 CA Practitioner - Physical Therapist in Private Practice 6608769104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

275 W San Bernardino Rd
Covina, CA 91723-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12100CAMDChiropractor
PT 12100CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Physical Therapy, Inc. Physical Therapist CurrentSince Feb 17, 2010 Accepting new patients
Medstar Physical Therapy. Inc. CurrentSince Jan 7, 2009 Accepting new patients
Medstar Physical Therapy, Inc. Physical Therapist PastSince Feb 17, 2010 Accepting new patients
Medstar Physical Therapy, Inc. Physical Therapist PastSince Feb 17, 2010 Accepting new patients

Locations

275 W San Bernardino Rd
Covina, CA 91723
Phone (626) 331-3311

411 N Central Ave
Ste 610
Glendale, CA 91203
Phone (818) 244-0009

980 Atlantic Ave
Fl 2
Long Beach, CA 90813
Phone (562) 624-0766

980 Atlantic Ave
Fl 3
Long Beach, CA 90813
Phone (562) 624-0766

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, 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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538212873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ATLANTIC AVE",
            "address_2": "3RD FLOOR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134570",
            "telephone_number": "562-624-0766",
            "fax_number": "562-624-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ATLANTIC AVE",
            "address_2": "3RD FLOOR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134570",
            "telephone_number": "562-624-0766",
            "fax_number": "562-624-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEDIFAR",
        "first_name": "MAJID",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 12100",
            "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 Jul 8, 2007; 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.