Mahnaz N Kazalbasch, R.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16356 Issued in CA

Practice address

14566 Seventh St
Victorville, CA 92395-4214

Phone

(760) 843-0895

Fax

(760) 843-0894

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Comprehensive Primary Care Medical Associates, IncGroup PAC ID 5092780833, 4 clinicians

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.

• Compre Hensive Primary Care Medical Associates, Inc

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1982786620

  Physical Therapy

  Medicare reassignment Care Compare group NPD
• P and a Health Services

  • Physical Therapy Clinic/Center
  • Victorville, CA
  • NPI 1104041144

  Physical Therapist

  NPD (past)
• Precision Occupational Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • West Covina, CA
  • NPI 1821290024

  Physical Therapy

  NPD (past)
• PT Plus Rehab, Inc

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1457675662

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1841395340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14566 SEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954214",
            "telephone_number": "760-843-0895",
            "fax_number": "760-843-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZALBASCH",
        "first_name": "MAHNAZ",
        "middle_name": "N",
        "credential": "R.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "16356",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Kastning
• Veena Suvarna Katikineni, MD
• Daryl E Katz, OD
• Antervir Kaur
• Kawalpreet Kaur, FNP-C
• Farida Kazemi
• Xuan Ke
• Catherine Keating Keating
• Keith Mark Gross MD Inc
• Paige Kelley

• Physical Therapist in Victorville, CA
• Providers in Victorville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.