South Pacific Rehabilitation Services
Organization Active NPI Skilled Nursing Facility · Fontana, CA
NPI 1164880407 · NPPES record last updated Feb 2, 2016
Key facts
- NPI
- 1164880407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- SOUTH PACIFIC REHABILITATION SERVICES
- Practice address
- 15906 Parkhouse Dr
Fontana, CA 92336-6501 - Phone
- (909) 292-8467
- NPI assigned
- Feb 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Anna Kathleen Hillary
- Title
- Cota
- Phone
- (909) 292-8467
Corporate family (same tax ID) 5
Practitioners 1
National Provider Directory
- Tax ID family
- South Pacific
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
15906 Parkhouse Dr
Fontana, CA 92336-6501
Mailing address
15906 Parkhouse Dr
Fontana, CA 92336-6501
Phone (909) 292-8467
Other providers in Fontana, CA
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- Jasmin A Soto
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- Southern California Permanente Medical Group
- Southern California Permanente Medical Group
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- Southridge Dental Group
All providers in Fontana, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.