SALEENA KHOSHNEVIS – Physical Therapist, NPI 1487534707

SALEENA KHOSHNEVIS is a healthcare provider. based in Diamond bar, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 308904 (CA). The NPI Number for SALEENA KHOSHNEVIS is 1487534707

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
SALEENA KHOSHNEVIS
NPI
1487534707
Phone
Not provided
Address
21015 PATHFINDER RD STE 100
Enumeration Date
5 September 2025
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
9098613511
Graduation Year
2025 (1 year ago)
PAC ID
9830695394
Group Practice PAC ID
4284536814
Professional Enrollment ID
I20251009003824
Address ID
CA917654002DI21015RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for SALEENA KHOSHNEVIS

  • 21015 PATHFINDER RD STE 100

    DIAMOND BAR, CA 917654002

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251009003824IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91765)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284536814View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the registry number for SALEENA KHOSHNEVIS?
The registry entry for SALEENA KHOSHNEVIS shows NPI 1487534707.
Is SALEENA KHOSHNEVIS's NPI status active today?
Active status means SALEENA KHOSHNEVIS's NPI record is not deactivated in the public file.
Which specialty label fits SALEENA KHOSHNEVIS?
NPPES ties SALEENA KHOSHNEVIS to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SALEENA KHOSHNEVIS in Diamond Bar, California?
For routing, start with Diamond Bar, California for SALEENA KHOSHNEVIS, then verify phone and hours locally.
Why is information missing for SALEENA KHOSHNEVIS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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