Active NPI
CJ Professional Corporation
Doing business as Coachella Joint Pain Center
- Physical Therapist
- Coachella, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CJ PROFESSIONAL CORPORATION
- Doing business as
- Coachella Joint Pain Center
- Practice address
- 49613 Harrison St Ste A105
Coachella, CA 92236-1451 - Phone
- (760) 501-6541
- NPI assigned
- Jun 12, 2022
- Last updated
- Jun 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dan James Rarela, DPT
- Title
- President / Ceo
- Phone
- (760) 501-6541
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
49613 Harrison St Ste A105
Coachella, CA 92236-1451
Mailing address
84410 Onda Dr
Indio, CA 92203-2910
Phone (760) 342-5501
Other names 1
- Coachella Joint Pain Center
National Provider Directory
National Provider DirectoryLocations
49613 Harrison St
Ste A105
Coachella, CA 92236
Phone (760) 391-3410
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.
-
- Physical Therapist
- Coachella, CA
- NPI 1356502322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654992000000",
"number": "1124758396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84410 ONDA DR",
"city": "INDIO",
"state": "CA",
"postal_code": "922032910",
"telephone_number": "760-342-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49613 HARRISON ST STE A105",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922361451",
"telephone_number": "760-501-6541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CJ PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-12",
"last_updated": "2022-06-12",
"certification_date": "2022-06-12",
"status": "A",
"authorized_official_last_name": "RARELA",
"authorized_official_first_name": "DAN JAMES",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "760-501-6541",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coachella Joint Pain Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.