Individual provider Active NPI

Joshua Yared

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1942062906
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
39210 State St Ste 202
Fremont, CA 94538-1456
Phone
(510) 825-2505
NPI assigned
Jan 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 Primary

Addresses

Primary practice location

39210 State St Ste 202
Fremont, CA 94538-1456

Mailing address

34278 Lennox CT
Fremont, CA 94555-2132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321003422 CA Practitioner - Physical Therapist in Private Practice 7012354384 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
Samasta Services IncGroup PAC ID 9133341092, 4 clinicians

Practice addresses (Care Compare)

29400 Kohoutek Way
Suite 150
Union City, CA 94587-1212
Phone (510) 441-8906

39210 State St
Fremont, CA 94538-1456
Phone (510) 825-2505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samasta Services Inc Physical Therapist CurrentSince Jan 26, 2024 Accepting new patients

Locations

39210 State St
Ste 202
Fremont, CA 94538
Phone (510) 441-8906

29400 Kohoutek Way
Ste 150
Union City, CA 94587
Phone (510) 441-8906

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1942062906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34278 LENNOX CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39210 STATE ST STE 202",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381456",
            "telephone_number": "510-825-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARED",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.