Susan J. Javidan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26116 Issued in CA

Practice address

9750 Miramar Rd Ste 160
San Diego, CA 92126-4561

Phone

(858) 693-3196

Fax

(858) 693-3879

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578601175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264561",
            "telephone_number": "858-693-3196",
            "fax_number": "858-693-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264561",
            "telephone_number": "858-693-3196",
            "fax_number": "858-693-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDAN",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khurram Javed
• Kinaan Faridun Javed, DO
• Javidan Dentistry
• Mitra Javidan Mazdyasni, DMD
• Patrick Javidan, D.C.
• Babak Javidi, DMD
• Olaff Javier Meza
• Juan Francisco Javier-Desloges, M.D.
• Ailiz Javier
• Jennifer Michele Javors, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.