Individual provider Active NPI

Peyman Nasseri, DPT

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1851697387
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40234 Issued in CA
Practice address
10390 Commerce Center Dr Ste C-110
Rancho Cucamonga, CA 91730-5858
Phone
(909) 789-1212
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 40234 CA Primary

Addresses

Primary practice location

10390 Commerce Center Dr Ste C-110
Rancho Cucamonga, CA 91730-5858

Mailing address

10390 Commerce Center Dr Ste C-110
Rancho Cucamonga, CA 91730-5858
Phone (909) 789-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200329000553 CA Practitioner - Physical Therapist in Private Practice 7618302795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy and Wellness IncGroup PAC ID 6800221987, 2 clinicians

Practice addresses (Care Compare)

1450 Iowa Ave
Suite 250
Riverside, CA 92507-0509
Phone (951) 530-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physical Therapy and Wellness Inc Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients

Locations

1577 E Chevy Chase Dr
Ste 110
Glendale, CA 91206
Phone (818) 242-6811

10390 Commerce Center Dr
Ste C110
Rancho Cucamonga, CA 91730
Phone (909) 297-1028

9555 Foothill Blvd
Ste A
Rancho Cucamonga, CA 91730
Phone (909) 466-7363

1450 Iowa Ave
Ste 250
Riverside, CA 92507
Phone (951) 530-3550

14471 Chambers Rd
Ste 105
Tustin, CA 92780
Phone (626) 373-6037

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1851697387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 COMMERCE CENTER DR STE C-110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305858",
            "telephone_number": "909-789-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 COMMERCE CENTER DR STE C-110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305858",
            "telephone_number": "909-789-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERI",
        "first_name": "PEYMAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.