Individual provider Active NPI

Farid Memar Zia, P.T.

  • Physical Therapist
  • El Centro, CA
National Provider Identifier
1790837987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24141 Issued in CA
Practice address
428 N Imperial Ave
El Centro, CA 92243-2329
Phone
(760) 353-3422
Fax
(760) 353-9163
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 24141 CA Primary

Addresses

Primary practice location

428 N Imperial Ave
El Centro, CA 92243-2329

Mailing address

PO Box 3204
El Centro, CA 92244-3204
Phone (760) 353-3422

Other identifiers 1

IdentifierTypeStateIssuer
PT24141OtherBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000450 CA Practitioner - Physical Therapist in Private Practice 6608764790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farid Zia Physical Therapist a Professional CorpGroup PAC ID 5193613289, 4 clinicians

Practice addresses (Care Compare)

1698 Cruickshank Dr
Suite a
El Centro, CA 92243-1462
Phone (760) 353-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 24141CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farid Zia Physical Therapist a Professional Corp Physical Therapist CurrentSince Sep 1, 2003 Accepting new patients

Locations

420 Heffernan Ave
Ste 2B
Calexico, CA 92231
Phone (760) 355-7929

428 N Imperial Ave
El Centro, CA 92243
Phone (760) 353-3422

1698 Cruickshank Dr
Ste A
El Centro, CA 92243
Phone (760) 353-3422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790837987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3204",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922443204",
            "telephone_number": "760-353-3422",
            "fax_number": "760-353-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432329",
            "telephone_number": "760-353-3422",
            "fax_number": "760-353-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIA",
        "first_name": "FARID",
        "middle_name": "MEMAR",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 24141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PT24141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.