Active NPI
Kasha Farahani, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1902026040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27915
- Practice address
- 17895 Caminito Pinero Unit 257
San Diego, CA 92128-4806 - Phone
- (858) 245-6957
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27915 | CA | Primary |
Addresses
Primary practice location
17895 Caminito Pinero Unit 257
San Diego, CA 92128-4806
Mailing address
9430 Vervain St
San Diego, CA 92129-3527
Phone (858) 245-6957
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27915 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Glen Hospice Care | 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.
-
- Community Based Hospice Care Agency
- Temecula, CA
- NPI 1114513710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1902026040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 VERVAIN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293527",
"telephone_number": "858-245-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17895 CAMINITO PINERO UNIT 257",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284806",
"telephone_number": "858-245-6957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHANI",
"first_name": "KASHA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2024-04-08",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.