NPIMap

Organization Active NPI

Southwest Rehab Specialist

  • Clinic/Center
  • Calexico, CA
National Provider Identifier
1215129366
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHWEST REHAB SPECIALIST
Practice address
120 W Cole Blvd
Suite B
Calexico, CA 92231-9700
Phone
(760) 357-7877
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Romulo J Garcia, PTA
Title
Owner
Phone
(760) 455-3306

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

120 W Cole Blvd
Suite B
Calexico, CA 92231-9700

Mailing address

2300 Ashton CT
Imperial, CA 92251-8803
Phone (760) 455-3306

Other names 1

  • Calexico Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Calexico Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1215129366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ASHTON CT",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518803",
            "telephone_number": "760-455-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W COLE BLVD",
            "address_2": "SUITE B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319700",
            "telephone_number": "760-357-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST REHAB SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROMULO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-455-3306",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calexico Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.