Excellence in Rehabilitation Medical Group Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EXCELLENCE IN REHABILITATION MEDICAL GROUP INC

Practice address

345 S Halcyon Rd
Arroyo Grande, CA 93420-3899

Phone

(805) 473-7663

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Karl John Sandin, MD, MPH

Title

President

Phone

(805) 689-4218

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1023630514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945260324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203899",
            "telephone_number": "805-473-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN REHABILITATION MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "SANDIN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-689-4218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicholle Ensign, BA
• Suzanne Erickson
• Lorriann Erno, R.D.,M.P.H.
• Lisa Angela Esparza, L.AC.,MASTERS, B.S.
• Angel Charissa Evans, LICENSE SOCIAL WORK
• Exclusive Home Care Services
• Fair Oaks Pharmacy, Inc
• Family Care Network, Inc
• Family Care Network, Inc
• Simone Genevieve Fauquet, PSS STUDENT

• Physical Medicine & Rehabilitation Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.