Active NPI
Rami Qaqish
- Recreation Therapist
- San Bernardino, CA
National Provider Identifier
1255663688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 572 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1212 - Phone
- (909) 266-2703
- NPI assigned
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | CA | Primary |
Addresses
Primary practice location
572 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1212
Mailing address
572 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1212
Phone (909) 266-2703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22580000X | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1255663688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 N ARROWHEAD AVE STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011212",
"telephone_number": "909-266-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 N ARROWHEAD AVE STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011212",
"telephone_number": "909-266-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAQISH",
"first_name": "RAMI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "22580000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.