MEDSTAR PHYSICAL THERAPY. INC. (NPI# 1750640736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750640736 |
| Entity Type | Organization |
| Organization Name | MEDSTAR PHYSICAL THERAPY. INC. |
| Other Organization Name | MAJID SAEDIFAR, DPT |
| Practice Address |
610 N Central Ave Suite 202 Glendale CA 91203-1403 |
| Practice Telephone | 8182440009 |
| Practice Fax Number | 8182441703 |
| Mailing Telephone | 8182440009 |
| Mailing Fax Number | 8182441703 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | DR. MAJID SAEDIFAR (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8182440009 |
| Authorized Official Credential | D.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | PT12100 | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Majid Saedifar, DPT | Doing Business As Name - Organization |
| Street Address |
610 N CENTRAL AVE SUITE 202 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203777 | Vahe Stephan Yacoubian | Specialist | 610 N Central Ave, Suite 105, Glendale, CA 91203-1403 | 2006-07-25 |
| 1659628907 | Charlene Medina | Counselor | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2012-08-06 |
| 1407157878 | Samuel A Malayan Medical Corp | Family Medicine | 610 N Central Ave, Suite 301, Glendale, CA 91203-1403 | 2010-11-16 |
| 1538479563 | Soo Gyung Kim | Acupuncturist | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2010-10-08 |
| 1720314271 | California Care Corp | Health Maintenance Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2009-10-19 |
| 1205070463 | Robin Stacy Long | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2009-04-30 |
| 1871743278 | California Care Corp | Preferred Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-09-23 |
| 1467609917 | California Care Corporation | Exclusive Provider Organization | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2008-08-26 |
| 1306001979 | Rodrik Khosrovian | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2008-07-23 |
| 1316110885 | California Care Inc | Exclusive Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1497028534 | Medirect, Inc. | Preferred Provider Organization | 412 W Broadway Ste 210, Glendale, CA 91204-1297 | 2012-02-21 |
| 1407177785 | Californiacarecorp | Preferred Provider Organization | 127 S Brand Blvd # 241, Glendale, CA 91204-1342 | 2010-06-21 |
| 1770801227 | California Care Corp | Preferred Provider Organization | 610 N Central Ave Ste 106, Glendale, CA 91203-1418 | 2010-05-07 |
| 1023284072 | Simply Dental | Preferred Provider Organization | 10646 N 51st Ave, Glendale, AZ 85304-4343 | 2008-04-30 |
| 1962673574 | First Assist, PC | Preferred Provider Organization | 5922 W Yucca St, Glendale, AZ 85304-3776 | 2008-03-23 |
| 1184773889 | Aturning Point for Arizona's Children | Preferred Provider Organization | 4541 W Cheryl Dr, Glendale, AZ 85302-1913 | 2007-01-10 |
| 1265944136 | Sports Champs Inc. | Preferred Provider Organization | 3600 N Verdugo Rd, Glendale, CA 91208-1219 | 2017-10-31 |
| 1295280014 | Reel Dentistry Pllc | Preferred Provider Organization | 5700 W Olive Ave, Suite #104, Glendale, AZ 85302-3147 | 2016-08-22 |
| 1124497524 | Phillip H A Lee Md and Center for Advanced Dermatology | Preferred Provider Organization | 1510 S Central Ave Ste 470, Glendale, CA 91204-2514 | 2015-09-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.