NPIMap

Organization Active NPI

Supplemental Healthcare

  • Rehabilitation Hospital
  • Daly City, CA
National Provider Identifier
1376788166
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
AT 8865 Issued in CA
Legal business name
SUPPLEMENTAL HEALTHCARE
Practice address
333 Gellert Blvd Ste 150
Daly City, CA 94015-2690
Phone
(866) 758-4700
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Sammy Lagman
Title
Pta
Phone
(650) 452-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X AT 8865 CA Primary

Addresses

Primary practice location

333 Gellert Blvd Ste 150
Daly City, CA 94015-2690

Mailing address

333 Gellert Blvd
Suite 150
Daly City, CA 94015-3003

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

333 Gellert Blvd
Ste 150
Daly City, CA 94015
Phone (510) 639-9199

Practitioners & affiliated clinicians

Practitioners 4

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1376788166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD STE 150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152690",
            "telephone_number": "866-758-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "LAGMAN",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "650-452-2477"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "AT 8865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.