NPIMap

Organization Active NPI

Oasis Rehabilitation Center Inc.

  • Community/Behavioral Health Agency
  • Indio, CA
National Provider Identifier
1104915164
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OASIS REHABILITATION CENTER INC.
Practice address
81840 Ave. 46
Suite 201
Indio, CA 92201-3948
Phone
(760) 347-0750
Fax
(760) 863-8603
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Peter Zucker, PH.D.NPI 1013042902
Title
President
Phone
(310) 221-6336

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
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

81840 Ave. 46
Suite 201
Indio, CA 92201-3948

Mailing address

81840 Ave. 46
Suite 201
Indio, CA 92201-3948
Phone (760) 347-0750

Other identifiers 5

IdentifierTypeStateIssuer
07-03013OtherCACITY OF INDIO, BUSINESS
33DV01OtherCASTATE DMH REPORTING #
33DVOtherCADMH MEDICAL PROVIDER
2016025OtherCASTATE DMH LICENSE NUMBER
2213893OtherCASTATE CORP #

National Provider Directory

National Provider Directory
Tax ID family
Oasis Behavioral Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

81840 Avenue 46
Ste 201
Indio, CA 92201
Phone (760) 391-6971

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1104915164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81840 AVE. 46",
            "address_2": "SUITE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013948",
            "telephone_number": "760-347-0750",
            "fax_number": "760-863-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81840 AVE. 46",
            "address_2": "SUITE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013948",
            "telephone_number": "760-347-0750",
            "fax_number": "760-863-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS REHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-221-6336",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF INDIO, BUSINESS",
            "identifier": "07-03013",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DMH REPORTING #",
            "identifier": "33DV01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH MEDICAL PROVIDER",
            "identifier": "33DV",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DMH LICENSE NUMBER",
            "identifier": "2016025",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORP #",
            "identifier": "2213893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.