NPIMap

Organization Active NPI

Pacific Coast Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Escondido, CA
National Provider Identifier
1336714294
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PACIFIC COAST REHABILITATION
Practice address
2181 Citracado Parkway
Escondido, CA 92563-2415
Phone
(422) 776-1004
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Rishi Shah, MDNPI 1407268725
Title
President
Phone
(422) 776-1004

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X

Addresses

Primary practice location

2181 Citracado Parkway
Escondido, CA 92563-2415

Mailing address

1822 E Route 66 Ste a
Glendora, CA 91740-3800
Phone (760) 790-7220

Other practice location 1

7510 Clairemont Mesa Blvd Ste 103
San Diego, CA 92111-1539
Phone (760) 790-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614003111 CA Part B Supplier - Clinic/Group Practice 9931509882 Receives reassigned benefits from 10 practitioners
Practice locations: San Diego, CA; Poway, CA; Newport Beach, CA; La Jolla, CA; Escondido, CA; Encinitas, CA

National Provider Directory

National Provider Directory

Locations

2146 Encinitas Blvd
Ste 109
Encinitas, CA 92024
Phone (760) 790-7220

2146 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 635-1405

2181 Citracado Pkwy
Ste 109
Escondido, CA 92029

5317 University Dr
#136
Irvine, CA 92612

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1336714294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E ROUTE 66 STE A",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403800",
            "telephone_number": "760-790-7220",
            "fax_number": "760-227-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 CITRACADO PARKWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "925632415",
            "telephone_number": "422-776-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 Clairemont Mesa Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111539",
            "country_code": "US",
            "telephone_number": "760-790-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC COAST REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "422-776-1004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.