Individual provider Active NPI

Mandana Hodjati

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1568763050
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293025 Issued in CA
Practice address
10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Phone
(310) 286-0122
Fax
(310) 286-0125
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206484 VA
Physical Therapist 225100000X 293025 CA Primary

Addresses

Primary practice location

10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138

Other practice location 1

5130 Wilson Blvd
2nd Floor
Arlington, VA 22205-1169
Phone (703) 247-9799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811001710 CA Practitioner - Physical Therapist in Private Practice 4082897632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000

10250 Santa Monica Blvd
Suite 2440
Los Angeles, CA 90067-6469
Phone (310) 286-0122

11500 W Olympic Blvd
Suite 540
Los Angeles, CA 90064-1525
Phone (310) 231-3001

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

2211 W Magnolia Blvd
Suite 160
Burbank, CA 91506-1757
Phone (661) 284-3155

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
87.27
Promoting interoperability
100
Improvement activities
40
Cost
74.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293025CAMDPhysical Therapist
2305206484VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performing Arts Physical Therapy of Los Angeles Inc Physical Therapist CurrentSince May 20, 2021 Accepting new patients
Regents of the University of California CurrentSince May 1, 2022 Accepting new patients
Restorative Arts Physical Therapy Inc Physical Therapist CurrentSince Jul 15, 2021 Accepting new patients
The Regents of the University of California CurrentSince May 1, 2022 Accepting new patients
Regents of the University of California CurrentSince May 1, 2022 Accepting new patients
The Regents of the University of California CurrentSince May 1, 2022 Accepting new patients
Advanced Physical Medicine & Rehabilitation of Virginia Past Accepting new patients

Locations

2211 W Magnolia Blvd
Ste 160
Burbank, CA 91506
Phone (818) 876-4195

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 59755
Los Angeles, CA 90074

10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

12930 Ventura Blvd
Ste 226A
Studio City, CA 91604
Phone (818) 729-9419

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

1106 N La Cienega Blvd
Ste 203
West Hollywood, CA 90069
Phone (310) 659-1077

Organizations & group practices 7

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": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1568763050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SANTA MONICA BLVD STE 2440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676593",
            "telephone_number": "310-286-0122",
            "fax_number": "310-286-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Wilson Blvd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222051169",
            "country_code": "US",
            "telephone_number": "703-247-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODJATI",
        "first_name": "MANDANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206484",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.