Diamond Sports Rehabilitation and Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DIAMOND SPORTS REHABILITATION AND PHYSICAL THERAPY

Practice address

4200 82ND St Ste K
Sacramento, CA 95826-4729

Phone

(530) 303-6636

Fax

(279) 399-2955

NPI assigned

Apr 7, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Bagdasarian, PTNPI 1831564350

Title

Owner, Ceo

Phone

(530) 303-6636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Bagdasarian, PT, DPT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1831564350
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1740074772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 82ND ST STE K",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264729",
            "telephone_number": "530-303-6636",
            "fax_number": "279-399-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 82ND ST STE K",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264729",
            "telephone_number": "530-303-6636",
            "fax_number": "279-399-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND SPORTS REHABILITATION AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BAGDASARIAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "530-303-6636",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831564350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.