Optimal Rehab, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MDR1803 Issued in CA

Legal business name

OPTIMAL REHAB, INC.

Practice address

430 S Cataract Ave
San Dimas, CA 91773-2902

Phone

(909) 394-0012

Fax

(909) 305-1636

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Perry J Vives

Title

President

Phone

(909) 394-0012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1316990963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4586",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917610821",
            "telephone_number": "909-394-0012",
            "fax_number": "909-305-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S CATARACT AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732902",
            "telephone_number": "909-394-0012",
            "fax_number": "909-305-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "VIVES",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-394-0012"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "MDR1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ojai Valley Community Medical Group
• Jocelyn Olivares-Hernandez
• Ashley Laine Olsen, D.P.T.
• Sara Kate Olson, OTR/L
• Optimal Med, LLC.
• Nelida Ordonez
• Alani Alexis Orellana
• Anna Orlanzzini
• Jennifer Orozco
• Araceli Ortiz

• Durable Medical Equipment & Medical Supplies in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.