Individual provider Active NPI

Eva Sahatdjian

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1861869356
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42902 Issued in CA
Practice address
8388 Parkway Dr
La Mesa, CA 91942-2893
Phone
(619) 797-1190
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 PT42902 CA Primary

Addresses

Primary practice location

8388 Parkway Dr
La Mesa, CA 91942-2893

Mailing address

4445 Eastgate Mall
Ste 105
San Diego, CA 92121-1979
Phone (858) 357-9450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000330 CA Practitioner - Physical Therapist in Private Practice 7911293758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

8388 Pkwy Dr
La Mesa, CA 91942-2893
Phone (619) 797-1190

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42902CAMDGeneral Practice Dentistry
PT42902CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Synergy Orthopedic Specialists, Inc. Physical Therapy CurrentSince Oct 1, 2021 Accepting new patients
Manual Orthopedic Physical Therapy, Inc. Physical Therapist PastSince Jul 1, 2016 Accepting new patients

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

8388 Parkway Dr
La Mesa, CA 91942
Phone (619) 439-6878

4700 Spring St
Ste 180
La Mesa, CA 91942
Phone (619) 383-0704

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1861869356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL",
            "address_2": "STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-357-9450",
            "fax_number": "858-412-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8388 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422893",
            "telephone_number": "619-797-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHATDJIAN",
        "first_name": "EVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.