Ernest Michael Payan III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306078 Issued in CA

Practice address

719 Santa Monica Blvd
Santa Monica, CA 90401-2601

Phone

(310) 260-9039

NPI assigned

Jul 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ernest Michael Payan III Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 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.

• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Marina del Rey, CA
  • NPI 1043894090

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapyworks Inc.

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1780653626
  Medicare reassignment NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1275220246
  NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1417531450
  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1861239089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W PROSPECT AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918430",
            "telephone_number": "559-679-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012601",
            "telephone_number": "310-260-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYAN",
        "first_name": "ERNEST",
        "middle_name": "MICHAEL",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNEST",
            "last_name": "PAYAN",
            "middle_name": "MICHAEL",
            "suffix": "III",
            "credential": "ERN PAYAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul B. Haberman MD a Medical Corporation
• Paul B. Haberman, M.D., a.M.C.
• Paul Mittermiller, MD Inc.
• Julie Paul
• Payam Daneshrad MD Inc
• Michael John Payne II, D.D.S.
• Michal T Payne
• Judith Paz, P.T.
• Marco Paz
• Pablo Pazmino, MD

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.