NPIMap

Organization Active NPI

Southern California Corf

  • Physical Therapist
  • Northridge, CA
National Provider Identifier
1265629752
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28631 Issued in CA
Legal business name
SOUTHERN CALIFORNIA CORF
Practice address
18531 Roscoe Blvd.
215
Northridge, CA 91324
Phone
(818) 700-0478
Fax
(818) 975-9995
NPI assigned
Sep 27, 2007
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Ara Tepelekian, D.CNPI 1376637819
Title
President
Phone
(818) 700-0478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC 27178 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27178 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT28631 CA Primary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

18531 Roscoe Blvd.
215
Northridge, CA 91324

Mailing address

11024 Balboa Blvd.
504
Granada Hills, CA 91344
Phone (818) 700-0478

National Provider Directory

National Provider Directory

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1265629752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 BALBOA BLVD.",
            "address_2": "504",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-700-0478",
            "fax_number": "818-700-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD.",
            "address_2": "215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-700-0478",
            "fax_number": "818-975-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA CORF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "TEPELEKIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-700-0478",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27178",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27178",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28631",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.