Organization Active NPI

Breath of Fresh Air Pulmonary Rehab LLC

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Sacramento, CA
National Provider Identifier
1265250187
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
Legal business name
BREATH OF FRESH AIR PULMONARY REHAB LLC
Practice address
1401 21St St Ste R
Sacramento, CA 95811-5226
Phone
(760) 458-2087
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Authorized official

Name
Christopher McGonegal, RRT
Title
Respiratory Therapist
Phone
(760) 707-4506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1005X Primary

Addresses

Primary practice location

1401 21St St Ste R
Sacramento, CA 95811-5226

Mailing address

1401 21St St Ste R
Sacramento, CA 95811-5226
Phone (760) 458-2087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728777600000",
    "number": "1265250187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "760-458-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "760-458-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF FRESH AIR PULMONARY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A",
        "authorized_official_last_name": "MCGONEGAL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "760-707-4506",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.