Active NPI
Impaq Rehab Specialist
- Assisted Living Facility
- San Francisco, CA
National Provider Identifier
1013231414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 6940
- Legal business name
- IMPAQ REHAB SPECIALIST
- Practice address
- 178 Denslowe Dr
San Francisco, CA 94132-2035 - Phone
- (415) 548-0000
- NPI assigned
- Mar 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cesar Cruz Arada, OTR/L
- Title
- President
- Phone
- (415) 548-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 6940 | CA | Primary |
Addresses
Primary practice location
178 Denslowe Dr
San Francisco, CA 94132-2035
Mailing address
127 Nicole Way
Vallejo, CA 94589-3251
Phone (510) 396-0978
National Provider Directory
National Provider Directory- Tax ID family
- Impaq Rehab Specialist
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- San Francisco, CA
- NPI 1992027049
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- San Francisco, CA
- NPI 1922334234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271376000000",
"number": "1013231414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 NICOLE WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945893251",
"telephone_number": "510-396-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 DENSLOWE DR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941322035",
"telephone_number": "415-548-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPAQ REHAB SPECIALIST",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-15",
"last_updated": "2010-04-16",
"status": "A",
"authorized_official_last_name": "ARADA",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "CRUZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-548-0000",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "6940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.