South Bay Physical Medicine, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SOUTH BAY PHYSICAL MEDICINE, INC.

Practice address

816 Paseo del Rey
Chula Vista, CA 91910-7835

Phone

(619) 990-0543

NPI assigned

Feb 25, 2014

Organization subpart

No

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

Authorized official

Name

Brett Allan, DC

Title

Clinic Director

Phone

(619) 990-0543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1215352448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 LAGO DI GRATA CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 PASEO DEL REY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107835",
            "telephone_number": "619-990-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "619-990-0543",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Internal Medical GRP Inc
• South Bay Internal Medicine and Family Practice Group Inc
• South Bay Mediquipment Inc
• South Bay OBGYN
• South Bay Pediatric Dental Group
• South Bay Serenity and Guidance
• South Bay Skin & Cancer Medical Group, Inc.
• South Bay Surgical Associates Medical Group Inc.
• Southbay Cardiovascular Medical Center, Inc
• Southbay Neurological Med GR

• Physical Medicine & Rehabilitation Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.