NPIMap

Organization Active NPI

A&G Health Services, Inc.

  • Physical Therapy Clinic/Center
  • Victorville, CA
National Provider Identifier
1144409061
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
A&G HEALTH SERVICES, INC.
Practice address
17270 Bear Valley Rd Ste 105
Victorville, CA 92395-7751
Phone
(949) 770-6022
Fax
(949) 770-7084
NPI assigned
Oct 27, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Alberto A. Marciano
Title
Owner
Phone
(949) 770-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

17270 Bear Valley Rd Ste 105
Victorville, CA 92395-7751

Mailing address

24 Hammond Ste C
Irvine, CA 92618-1680
Phone (949) 770-6022

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ03461ZOtherCAMEDICARE GROUP NUMBER

Other names 1

  • welltone aquatic & physical therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Ag Health Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

17270 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 245-8828

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1144409061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 BEAR VALLEY RD STE 105",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957751",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&G HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-770-6022"
    },
    "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 GROUP NUMBER",
            "identifier": "ZZZ03461Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "welltone aquatic & physical therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.