NPIMap

Organization Active NPI

Farid Zia Physical Therapist a Professional Corp

  • Physical Therapist
  • El Centro, CA
National Provider Identifier
1922146109
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24141 Issued in CA
Legal business name
FARID ZIA PHYSICAL THERAPIST A PROFESSIONAL CORP
Practice address
1698 Cruickshank Dr Ste a
El Centro, CA 92243-1462
Phone
(760) 353-3422
Fax
(760) 353-9163
NPI assigned
Feb 1, 2007
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Mr. Farid Memar Zia, P.T.NPI 1790837987
Title
President
Phone
(760) 353-3422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT24141 CA Primary

Addresses

Primary practice location

1698 Cruickshank Dr Ste a
El Centro, CA 92243-1462

Mailing address

PO Box 3204
El Centro, CA 92244-3204
Phone (760) 353-3422

Other practice location 1

420 Heffernan Ave Ste 2-B
Calexico, CA 92231-4718
Phone (760) 768-4100

Other practice location 2

630 S Brawley Ave Ste B
Brawley, CA 92227-3107
Phone (760) 353-3422

Other identifiers 2

IdentifierTypeStateIssuer
125159900OtherU.S. DEPT OF LABOR
PT 24141OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107001206 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193613289 Receives reassigned benefits from 7 practitioners
Practice locations: El Centro, CA; Brawley, CA; Calexico, CA

National Provider Directory

National Provider Directory

Locations

529 E St
Brawley, CA 92227
Phone (760) 344-9000

630 S Brawley Ave
Ste B
Brawley, CA 92227
Phone (760) 353-3422

420 Heffernan Ave
Ste 2B
Calexico, CA 92231
Phone (760) 355-7929

1698 Cruickshank Dr
Ste A
El Centro, CA 92243
Phone (760) 353-3422

428 N Imperial Ave
El Centro, CA 92243
Phone (760) 353-3422

612 S J St
Ste 1
Imperial, CA 92251
Phone (760) 355-7929

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1922146109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3204",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922443204",
            "telephone_number": "760-353-3422",
            "fax_number": "760-353-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 CRUICKSHANK DR STE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431462",
            "telephone_number": "760-353-3422",
            "fax_number": "760-353-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Heffernan Ave Ste 2-B",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922314718",
            "country_code": "US",
            "telephone_number": "760-768-4100",
            "fax_number": "760-768-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 S Brawley Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922273107",
            "country_code": "US",
            "telephone_number": "760-353-3422",
            "fax_number": "760-353-9163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FARID ZIA PHYSICAL THERAPIST A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "ZIA",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "MEMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-353-3422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT OF LABOR",
            "identifier": "125159900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PT 24141",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.