Altered States Research Group, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A100046 Issued in CA

Legal business name

ALTERED STATES RESEARCH GROUP, INC.

Practice address

3511 Camino del Rio S
Suite 404
San Diego, CA 92108-4003

Phone

(619) 481-8416

Fax

(619) 516-3993

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles I. Knoll, M.D.

Title

Director

Phone

(619) 481-8416

Specialties & licenses 1

Addresses

Other names 1

• ASRG Other name

Locations

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1396995718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 CAMINO DEL RIO S",
            "address_2": "SUITE 404",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084003",
            "telephone_number": "619-481-8416",
            "fax_number": "619-516-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CAMINO DEL RIO S",
            "address_2": "SUITE 404",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084003",
            "telephone_number": "619-481-8416",
            "fax_number": "619-516-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERED STATES RESEARCH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-481-8416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A100046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASRG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Altamirano
• Susan Altamirano, RBT
• Nawal O Alteliani
• Lance L Altenau, M.D.
• Tina Marie Altenau, RN, NP-BC
• Alternative Healing Network, Inc. (Adams Avenue Integrative Health)
• Alternative Teaching Strategy Center
• Linda Altes, PH.D.
• Zahra Amir Althalmi
• Altheadx, Inc.

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

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