Individual provider Active NPI

Jesse Vedad Haghi

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1689049538
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43211 Issued in CA
Practice address
39815 Alta Murrieta Dr Ste C1
Murrieta, CA 92563-5405
Phone
(951) 304-7673
Fax
(951) 304-7680
NPI assigned
Dec 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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 43211 CA Primary

Addresses

Primary practice location

39815 Alta Murrieta Dr Ste C1
Murrieta, CA 92563-5405

Mailing address

3332 Brooke Hollow Rd
Fallbrook, CA 92028-3774

Other names 1

  • Jesse Vedad Haghi Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250715000788 TX Practitioner - Physical Therapist in Private Practice 9830458587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14973 Turnbridge Dr
Frisco, TX 75035-4833
Phone (469) 666-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43211CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Star Healthcare LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients

Organizations & group practices 1

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": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1689049538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 BROOKE HOLLOW RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39815 ALTA MURRIETA DR STE C1",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635405",
            "telephone_number": "951-304-7673",
            "fax_number": "951-304-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDAD HAGHI",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "VEDAD HAGHI",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.