Organization Active NPI

Rehabilitation Care Consultants Inc

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1215395694
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
138038 Issued in CA
Legal business name
REHABILITATION CARE CONSULTANTS INC
Practice address
1515 N Alexandria Ave
Los Angeles, CA 90027-5203
Phone
(214) 986-3010
Fax
(818) 671-2225
NPI assigned
Feb 1, 2016
Last updated
Feb 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Calvin Trocon Peters, M.D.NPI 1043524630
Title
MD/Owner
Phone
(214) 986-3010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 138038 CA Primary

Addresses

Primary practice location

1515 N Alexandria Ave
Los Angeles, CA 90027-5203

Mailing address

3711 7TH Ave
Los Angeles, CA 90018-4109
Phone (214) 986-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160303000701 CA Part B Supplier - Clinic/Group Practice 7113223082 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1270 S Alfred St
Unit 35630
Los Angeles, CA 90035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1215395694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 7TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900184109",
            "telephone_number": "214-986-3010",
            "fax_number": "818-671-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N ALEXANDRIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275203",
            "telephone_number": "214-986-3010",
            "fax_number": "818-671-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CARE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "TROCON",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "214-986-3010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "138038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.