Organization Active NPI

California Rehab Physicians Professional Corporation

Doing business as Canopy Medical Clinic

  • Physical Medicine & Rehabilitation Physician
  • Ben Lomond, CA
National Provider Identifier
1053234187
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CALIFORNIA REHAB PHYSICIANS PROFESSIONAL CORPORATION
Doing business as
Canopy Medical Clinic
Practice address
9571 Highway 9
Ben Lomond, CA 95005-9269
Phone
(831) 216-6156
NPI assigned
Aug 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Daniel Neudorf, DONPI 1073924650
Title
President/Ceo
Phone
(949) 290-5053

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

9571 Highway 9
Ben Lomond, CA 95005-9269

Mailing address

9571 Highway 9
Ben Lomond, CA 95005-9269

Other names 1

  • Canopy Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9571 Highway 9
Ben Lomond, CA 95005

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": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1053234187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9571 HIGHWAY 9",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9571 HIGHWAY 9",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059269",
            "telephone_number": "831-216-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA REHAB PHYSICIANS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "NEUDORF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "949-290-5053",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canopy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ben Lomond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.