Organization Active NPI

Bay Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Montebello, CA
National Provider Identifier
1063570653
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BAY REHABILITATION INC
Practice address
1520 W Beverly Blvd
Montebello, CA 90640-3930
Phone
(323) 725-0711
Fax
(323) 725-0284
NPI assigned
Dec 5, 2006
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Mr. Dillon Young Chang, P.T.NPI 1215021217
Title
President/Physical Therapist
Phone
(323) 725-0711

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1520 W Beverly Blvd
Montebello, CA 90640-3930

Mailing address

1520 W Beverly Blvd
Montebello, CA 90640-3930
Phone (323) 725-0711

Other identifiers 1

IdentifierTypeStateIssuer
BM481AOtherCAMEDICARE PTAN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090407000265 CA Part B Supplier - Clinic/Group Practice 4082790506 Receives reassigned benefits from 11 practitioners
Practice locations: Los Angeles, CA; Montebello, CA; Glendora, CA; Burbank, CA

National Provider Directory

National Provider Directory

Locations

3413 W Pacific Ave
Ste 200
Burbank, CA 91505
Phone (818) 841-3936

1347 S Grand Ave
Glendora, CA 91740
Phone (323) 319-6243

1520 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-0711

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1063570653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403930",
            "telephone_number": "323-725-0711",
            "fax_number": "323-725-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403930",
            "telephone_number": "323-725-0711",
            "fax_number": "323-725-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "323-725-0711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "BM481A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.