SARAH OLIVIA YAGHOUBI PT, DPT
NPI 1104650217
Physical Therapist - Neurology in Pomona, CA

Q: What is Sarah Yaghoubi's NPI number?

The NPI number for Sarah Yaghoubi is 1104650217. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Q: What is Sarah Yaghoubi's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Yaghoubi was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2024Accepts Medicare Assignment

255 E BONITA AVE, POMONA, CA 91767(909) 596-7733 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sarah Olivia Yaghoubi Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH OLIVIA YAGHOUBI PT, DPT (NPI 1104650217) is an individual neurology provider in Pomona, California, licensed in California (304826) and active in the NPI registry since August 2024. She is a graduate of Loma Linda University School Of Medicine (2023).

NPPES Registry Identity

NPI1104650217

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameSARAH OLIVIA YAGHOUBICredential: PT, DPT

Location Address255 E BONITA AVEPomona, CA 91767-1923

Mailing Address2619 Timberlake DrLa Crescenta, CA 91214-1447 · (818) 454-6508

Phone(909) 596-7733

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2023

Enumeration DateAugust 29, 2024

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedAugust 29, 2024

✔ NPI 1104650217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in CA · 304826

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

255 E BONITA AVE, Pomona, CA 91767

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Olivia Yaghoubi Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769915123

PECOS Enrollment IDI20241024001400

Medicare Billing Reassignment

Medicare enrollment records show Sarah Yaghoubi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

14 mi

Health Maintenance Organization

1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1770515280 (626) 851-1011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUCHADA TACHASOOKSAREE MSPAS, MPH, PA-C

Physician Assistant

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 593-7437

MICHAEL MARINELLO

Nurse Practitioner

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 643-2980

DR. KERRY NORMAN GOTT M.D.

Internal Medicine (Infectious Disease)

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 596-7733

WENDY WANG OTR/L

Occupational Therapist (Physical Rehabilitation)

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 596-7733

VANESSA PAI

Specialist/Technologist (Athletic Trainer)

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 859-5652

MICHELE ALANIZ OTR/L

Occupational Therapist

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 596-7733

TERESA LANDIS

Dietitian, Registered

255 E BONITA AVE, 2ND FLOOR, SUITE 200
POMONA, CA 91767

Los Angeles County (909) 519-3207

MR. ALBERTO VELASCO JR. PT, DPT

Physical Therapist

255 E BONITA AVE
POMONA, CA 91767

Los Angeles County (909) 596-7733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Yaghoubi's NPI number?

The NPI number for Sarah Yaghoubi is 1104650217. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Sarah Yaghoubi located?

Sarah Yaghoubi practices at 255 E Bonita Ave, Pomona, CA 91767. The listed phone number is (909) 596-7733.

What is Sarah Yaghoubi's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Sarah Yaghoubi enrolled in Medicare?

Yes. Sarah Yaghoubi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sarah Yaghoubi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Yaghoubi reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Yaghoubi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Yaghoubi was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.