Individual provider Active NPI

Arbi Gharibi

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1679012819
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292748 Issued in CA
Practice address
1111 N Brand Blvd
Suite J
Glendale, CA 91202-3070
Phone
(818) 244-0468
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 PT292748 CA Primary

Addresses

Primary practice location

1111 N Brand Blvd
Suite J
Glendale, CA 91202-3070

Mailing address

1111 N Brand Blvd
Suite J
Glendale, CA 91202-3070
Phone (818) 244-0468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920001148 CA Practitioner - Physical Therapist in Private Practice 3072887637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

101 S 1St St
Suite 1800
Burbank, CA 91502-1959
Phone (818) 558-7252

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
62.42
Promoting interoperability
76
Improvement activities
40
Cost
76.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292748CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Aug 2, 2021 Accepting new patients
Cavu Rehabilitation, LLC CurrentSince Aug 15, 2020 Accepting new patients
Matrix Rehabilitation, Inc. Past Accepting new patients
Mani Sports Chiropractic Inc PastSince Jul 18, 2018 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

101 S 1st St
Ste 1800
Burbank, CA 91502
Phone (818) 558-7252

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

13640 Foothill Blvd
Sylmar, CA 91342
Phone (657) 224-9490

1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991

Interoperability endpoints

  • Direct secure messaging: arbi.gharabi.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1679012819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD",
            "address_2": "SUITE J",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023070",
            "telephone_number": "818-244-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD",
            "address_2": "SUITE J",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023070",
            "telephone_number": "818-244-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARIBI",
        "first_name": "ARBI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.