Individual provider Active NPI

Haig John Dadaian, DPT

  • Sports Physical Therapist
  • Tarzana, CA
National Provider Identifier
1801433651
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
141887822 Issued in CA
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

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200304000550 CA Practitioner - Physical Therapist in Private Practice 0042647000 Reassigns benefits to 2 organizations

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
Rehab Specialists IncGroup PAC ID 7810071958, 25 clinicians

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

OrganizationSpecialtyStatusNew patients
Primary Care Sports Medicine a Medical Corporation CurrentSince Jan 19, 2020 Accepting new patients
Primary Care Sports Medicine a Medical Corporation CurrentSince Jan 19, 2020 Accepting new patients
Rehab Specialists, Inc Sports CurrentSince Feb 7, 2022 Accepting new patients
Adi Rehab, Incorporated Sports PastSince Nov 24, 2019 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.

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.

Verify at the official NPI Registry.