Organization Active NPI

Elite Health & Rehabilitation

  • Physical Therapy Clinic/Center
  • West Covina, CA
National Provider Identifier
1407407455
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE HEALTH & REHABILITATION
Practice address
1535 W Merced Ave Ste 104
West Covina, CA 91790-3404
Phone
(626) 337-7087
Fax
(626) 337-7089
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Jorge ErazoNPI 1679123061
Title
Administrator
Phone
(626) 337-7087

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1535 W Merced Ave Ste 104
West Covina, CA 91790-3404

Mailing address

1535 W Merced Ave Ste 104
West Covina, CA 91790-3404
Phone (626) 337-7087

National Provider Directory

National Provider Directory

Locations

1535 W Merced Ave
Ste 104
West Covina, CA 91790
Phone (626) 337-7087

Practitioners & affiliated clinicians

Practitioners 1

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": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1407407455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE STE 104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-337-7087",
            "fax_number": "626-337-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE STE 104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-337-7087",
            "fax_number": "626-337-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "ERAZO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-337-7087"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.