Genesis Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

19031 Issued in CA

Legal business name

GENESIS REHAB

Practice address

7716 W Manchester Ave
Playa del Rey, CA 90293-8408

Phone

(310) 823-4694

NPI assigned

Jan 22, 2013

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isabella Sautter

Title

Physical Therapist

Phone

(310) 649-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1386982643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 FORDHAM RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 W MANCHESTER AVE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938408",
            "telephone_number": "310-823-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "SAUTTER",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-649-6000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "19031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Wolf Frances, JD, MSW
• Judith Ann Friedman, PHD, MFCC
• Steven H. Fujimoto, DDS
• Melody Gabriel, DPT
• Bernard Gaston, D.D.S.
• Genesis Rehab Services
• George P Gleckler, MFT
• Anna Gonzales, OTR
• Lauren Goodell, MPT
• Rush David Goodman, D.M.D.

• Skilled Nursing Facility in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.