Hossein Tayebi, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30221 Issued in CA

Practice address

1532 San Bernardino Ave
Suite B3
Pomona, CA 91767-3559

Phone

(909) 447-6600

Fax

(909) 447-6601

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 121 Rehab Physical Therapy Corp

  • Occupational Therapist
  • Pomona, CA
  • NPI 1962431049

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1790722056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SAN BERNARDINO AVE",
            "address_2": "SUITE # B3",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673559",
            "telephone_number": "909-447-6600",
            "fax_number": "909-447-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SAN BERNARDINO AVE",
            "address_2": "SUITE B3",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673559",
            "telephone_number": "909-447-6600",
            "fax_number": "909-447-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYEBI",
        "first_name": "HOSSEIN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT30221",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Tassinari, O.D
• Chamille Seante Tate
• Cheyenne Symone Tate, DO
• Christian Alexander Tatevossian
• Jocelyn Tavares
• Jasmine Taylor, LPT
• Kim L Taylor, MFTT
• Melisha Taylor
• Te-Chao Huang DDS Inc
• Gigi CHI Te, PHARM.D.

• All providers in Pomona, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.