Individual provider Active NPI

Navid Hannanvash, D.P.T.

  • Physical Therapist
  • Solana Beach, CA
National Provider Identifier
1811271240
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38257 Issued in CA
Practice address
380 Stevens Ave
Suite 314
Solana Beach, CA 92075-2063
Phone
(858) 755-5200
Fax
(858) 755-5201
NPI assigned
Oct 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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 38257 CA Primary

Addresses

Primary practice location

380 Stevens Ave
Suite 314
Solana Beach, CA 92075-2063

Mailing address

380 Stevens Ave
Suite 314
Solana Beach, CA 92075-2063
Phone (858) 755-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy Prime Wellness Inc Physical Therapist Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1811271240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 STEVENS AVE",
            "address_2": "SUITE 314",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752063",
            "telephone_number": "858-755-5200",
            "fax_number": "858-755-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 STEVENS AVE",
            "address_2": "SUITE 314",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752063",
            "telephone_number": "858-755-5200",
            "fax_number": "858-755-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNANVASH",
        "first_name": "NAVID",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.