Individual provider Active NPI

Hamid M Kashan

  • Physical Therapist
  • Northridge, CA
National Provider Identifier
1659669745
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14307 Issued in CA
Practice address
18531 Roscoe Blvd Ste 215a
Northridge, CA 91324
Phone
(818) 886-2245
Fax
(818) 886-3826
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 PT14307 CA Primary

Addresses

Primary practice location

18531 Roscoe Blvd Ste 215a
Northridge, CA 91324

Mailing address

18531 Roscoe Blvd Ste 215a
Northridge, CA 91324-5462
Phone (818) 886-2245

Other identifiers 1

IdentifierTypeStateIssuer
PT14307OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000546 CA Practitioner - Physical Therapist in Private Practice 2961678750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Managed Care Rehab IncGroup PAC ID 4789635822, 3 clinicians

Practice addresses (Care Compare)

18531 Roscoe Blvd
Suite 215a
Northridge, CA 91324-5462
Phone (818) 886-2245

23734 Valencia Blvd
Suite 201
Valencia, CA 91355-5360
Phone (661) 253-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14307CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Care Rehab., Inc. CurrentSince Jun 1, 2011 Accepting new patients
Managed Care Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Nadia Goel Chiropractic, Inc. PastSince Mar 1, 2016 Accepting new patients

Locations

18531 Roscoe Blvd
Ste 215A
Northridge, CA 91324
Phone (818) 886-2245

18531 Roscoe Blvd
Ste 21
Northridge, CA 91324

23734 Valencia Blvd
Ste 201
Valencia, CA 91355
Phone (661) 253-3744

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1659669745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 215A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245462",
            "telephone_number": "818-886-2245",
            "fax_number": "818-886-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 215A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-886-2245",
            "fax_number": "818-886-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHAN",
        "first_name": "HAMID",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT14307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.