San Diego Rehab and Fitness

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Legal business name

SAN DIEGO REHAB AND FITNESS

Practice address

4184 Madison Ave
San Diego, CA 92116-4709

Phone

(619) 736-0506

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Shawna Norton

Title

Founder/Ceo

Phone

(619) 379-6680

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1184157208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4184 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164709",
            "telephone_number": "619-736-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164709",
            "telephone_number": "619-736-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO REHAB AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "619-379-6680"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Diego Regional Health Information Exchange
• San Diego Regional P.E.T. Center, LLC
• San Diego Rehab
• San Diego Rescue Mission
• San Diego Rescue Mission
• San Diego Second Chance Program
• San Diego Second Chance Program
• San Diego Specialists Kenneth J Roth Gen PTR

• Clinical Exercise Physiologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Exercise Physiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.