Individual provider Active NPI

David Howard Pakozdi, PT OCS

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1992843205
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10216 Issued in CA
Practice address
1950 Sawtelle Blvd
Suite 190
Los Angeles, CA 90025-7014
Phone
(310) 312-5678
Fax
(310) 231-0336
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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 PT10216 CA Primary

Addresses

Primary practice location

1950 Sawtelle Blvd
Suite 190
Los Angeles, CA 90025-7014

Mailing address

1950 Sawtelle Blvd
Suite 190
Los Angeles, CA 90025-7014
Phone (310) 312-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718000652 CA Practitioner - Physical Therapist in Private Practice 4082996483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12301 Wilshire Blvd
Suite 404
Los Angeles, CA 90025-1007
Phone (310) 312-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10216CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Orthopaedic Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2017 Accepting new patients

Locations

12301 Wilshire Blvd
Ste 404
Los Angeles, CA 90025
Phone (310) 312-5678

1950 Sawtelle Blvd
Ste 190
Los Angeles, CA 90025
Phone (310) 312-5678

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1992843205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD",
            "address_2": "SUITE 190",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257014",
            "telephone_number": "310-312-5678",
            "fax_number": "310-231-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD",
            "address_2": "SUITE 190",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257014",
            "telephone_number": "310-312-5678",
            "fax_number": "310-231-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKOZDI",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "PT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.