Jafar Mottaghian Monazzam, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018908 Issued in CA

Practice address

4067 Tweedy Blvd
South Gate, CA 90280-6146

Phone

(323) 563-1160

Fax

(323) 563-1169

NPI assigned

Aug 31, 2006

Sex

Male

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jafar Mottaghian Monazzam

  • Physical Therapist
  • South Gate, CA
  • NPI 1942361753
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1609987007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806146",
            "telephone_number": "323-563-1160",
            "fax_number": "323-563-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806146",
            "telephone_number": "323-563-1160",
            "fax_number": "323-563-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAZZAM",
        "first_name": "JAFAR",
        "middle_name": "MOTTAGHIAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT018908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission San Juan Medical Clinic
• Mitsuo Yanagihara, D.C., Inc.
• Roy Miyamoto, DDS
• Nitin Ochhavlal Mody, DDS
• Alicia Danielle Monazzam, NP
• Shafagh Monazzam, MD
• Morgan Bentley Montelius, DMD
• Lizette Montes
• Prenisha Moore Angelic Moore
• Joselyn N/a Morales, N/A

• Physical Therapist in South Gate, CA
• Providers in South Gate, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.