Organization Active NPI

Impaq Rehab Specialist

  • Assisted Living Facility
  • San Francisco, CA
National Provider Identifier
1013231414
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
6940 Issued in CA
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

Updated by the provider on Apr 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cesar Cruz Arada, OTR/LNPI 1922334234
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)CodeLicenseStatePrimary
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 Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.