Medstar Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MEDSTAR PHYSICAL THERAPY INC.

Practice address

275 W San Bernardino Rd
Covina, CA 91723-1516

Phone

(626) 967-3553

Fax

(626) 915-7403

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Alfonso Herrera, ETC

Title

Administrator

Phone

(626) 641-5125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medstar Physical Therapy, Inc.

  • Physical Therapist
  • Long Beach, CA
  • NPI 1184777443

  O20040206000943

  Same enrollment
• Medstar Physical Therapy. Inc.

  dba Majid Saedifar, DPT

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1750640736

  O20040206000943

  Same enrollment

Locations

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1598919268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231516",
            "telephone_number": "626-967-3553",
            "fax_number": "626-915-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231516",
            "telephone_number": "626-967-3553",
            "fax_number": "626-915-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-641-5125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Medina
• Isabella Medina
• Joana Medina
• Serina Medina
• Jennifer Medrano-Ramirez
• Enass Fouad Megalla
• Laura Ichimura Megginson
• Dharmesh Mehta, MD
• Allison Meins, PSYD
• Deserae Emily Mejia

• Physical Therapist in Covina, CA
• Providers in Covina, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.