Organization Active NPI

Bay Area Rehabilitation Medical Group

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
National Provider Identifier
1093719817
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BAY AREA REHABILITATION MEDICAL GROUP
Practice address
2250 Hayes St
San Francisco, CA 94117-1013
Phone
(415) 750-5762
NPI assigned
Jun 9, 2005
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Kenneth B Fechtner, MDNPI 1396748893
Title
Partner
Phone
(415) 750-5761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

2250 Hayes St
San Francisco, CA 94117-1013

Mailing address

2250 Hayes St
San Francisco, CA 94117-1013
Phone (415) 750-5762

Other identifiers 2

IdentifierTypeStateIssuer
GR0008970MedicaidCA
CP1128OtherCAGROUP MCRERR

National Provider Directory

National Provider Directory

Locations

2250 Hayes St
San Francisco, CA 94117
Phone (415) 750-5761

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1093719817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171013",
            "telephone_number": "415-750-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171013",
            "telephone_number": "415-750-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA REHABILITATION MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "FECHTNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-750-5761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0008970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MCRERR",
            "identifier": "CP1128",
            "state": "CA"
        }
    ],
    "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 May 14, 2008; 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.