Active NPI
Haig John Dadaian, DPT
- Sports Physical Therapist
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 141887822
- Practice address
- 18411 Clark St Ste 302
Tarzana, CA 91356-3541 - Phone
- (818) 501-7276
- NPI assigned
- Nov 27, 2019
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 141887822 | CA | Primary |
Addresses
Primary practice location
18411 Clark St Ste 302
Tarzana, CA 91356-3541
Mailing address
3379 Alginet Dr
Encino, CA 91436-4121
Phone (818) 644-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5359 Balboa Blvd
Suite a
Encino, CA 91316-2834
Phone (310) 273-0877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Sports Medicine a Medical Corporation | Current | Accepting new patients | |
| Primary Care Sports Medicine a Medical Corporation | Current | Accepting new patients | |
| Rehab Specialists, Inc | Sports | Current | Accepting new patients |
| Adi Rehab, Incorporated | Sports | Past | Accepting new patients |
Locations
5359 Balboa Blvd
Ste A
Encino, CA 91316
Phone (818) 506-7821
2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870
18411 Clark St
Ste 302
Tarzana, CA 91356
Phone (818) 501-7276
10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143
Organizations & group practices 4
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.
-
- Sports Medicine (Family Medicine) Physician
- Agoura Hills, CA
- NPI 1134274418
-
- Sports Medicine (Family Medicine) Physician
- Agoura Hills, CA
- NPI 1841977253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1801433651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3379 ALGINET DR",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364121",
"telephone_number": "818-644-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18411 CLARK ST STE 302",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563541",
"telephone_number": "818-501-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADAIAN",
"first_name": "HAIG",
"middle_name": "JOHN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "141887822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.