Active NPI
Saeed Jazayeri, PT, DPT, OCS, FAAOMP
- Orthopedic Physical Therapist
- Lynwood, CA
National Provider Identifier
1740053354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT14644
- Practice address
- 3630 E Imperial Hwy
Lynwood, CA 90262-2609 - Phone
- (310) 900-2776
- Fax
- (310) 900-8018
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT14644 | CA | Primary |
Addresses
Primary practice location
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Mailing address
2721 Azores PL
Rancho Palos Verdes, CA 90275-6312
Phone (310) 617-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT14644 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1740053354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 AZORES PL",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902756312",
"telephone_number": "310-617-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622609",
"telephone_number": "310-900-2776",
"fax_number": "310-900-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAZAYERI",
"first_name": "SAEED",
"credential": "PT, DPT, OCS, FAAOMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT14644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.