NPIMap

Organization Active NPI

Genesis Rehab

  • Rehabilitation Hospital Unit
  • Alameda, CA
National Provider Identifier
1154669349
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
AT9533 Issued in CA
Legal business name
GENESIS REHAB
Practice address
430 Willow St
Alameda, CA 94501-6130
Phone
(323) 481-7865
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Miss Savoeun Ouch
Title
Pta
Phone
(323) 481-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X AT9533 CA Primary

Addresses

Primary practice location

430 Willow St
Alameda, CA 94501-6130

Mailing address

975 Everett St Apt 3
Los Angeles, CA 90026-4437
Phone (323) 481-7865

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1154669349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 EVERETT ST APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264437",
            "telephone_number": "323-481-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016130",
            "telephone_number": "323-481-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "OUCH",
        "authorized_official_first_name": "SAVOEUN",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "323-481-7865",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "AT9533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.