Fortuna Rehabilitation

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

056863 Issued in CA

Legal business name

FORTUNA REHABILITATION

Doing business as

Perspectives in Rehab

Practice address

2648 Main St
Suite BC
Chula Vista, CA 91911-4664

Phone

(619) 575-0157

Fax

(619) 575-0053

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Donnella Goodwin, MBA

Title

Cfo, Coo

Phone

(619) 575-0157

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perspectives in Rehab Doing business as

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1386794543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 MAIN ST",
            "address_2": "SUITE BC",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114664",
            "telephone_number": "619-575-0157",
            "fax_number": "619-575-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 MAIN ST",
            "address_2": "SUITE BC",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114664",
            "telephone_number": "619-575-0157",
            "fax_number": "619-575-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNA REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DONNELLA",
        "authorized_official_title_or_position": "CFO, COO",
        "authorized_official_telephone_number": "619-575-0157",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "056863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0051200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perspectives in Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Anthony Forster, PA-C
• Tammenika Fort
• Robert T Forte
• Elijah Nathaniel Fortes
• James Ellis Fortin, MPT
• Fortune416Ix, Inc.
• Da'Shae Fox
• Francisco E. Anguiano, MD Inc
• Francisco Martinez MD Inc
• Annie Maria Francisco, D.M.D.

• Rehabilitation Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.