Organization Active NPI

Rehab Medical in

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe Springs, CA
National Provider Identifier
1427059732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REHAB MEDICAL IN
Practice address
12015 Mora Dr
Suite 2
Santa Fe Springs, CA 90670-7354
Phone
(562) 944-3495
Fax
(562) 944-3506
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mario Rea
Title
President
Phone
(562) 944-3595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12015 Mora Dr
Suite 2
Santa Fe Springs, CA 90670-7354

Mailing address

12015 Mora Dr
Suite 2
Santa Fe Springs, CA 90670-7354
Phone (562) 944-3495

Other identifiers 1

IdentifierTypeStateIssuer
DME02264FMedicaidCA

National Provider Directory

National Provider Directory

Locations

12015 Mora Dr
Ste 2
Santa Fe Springs, CA 90670
Phone (562) 944-3495

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427059732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 MORA DR",
            "address_2": "SUITE 2",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906707354",
            "telephone_number": "562-944-3495",
            "fax_number": "562-944-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 MORA DR",
            "address_2": "SUITE 2",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906707354",
            "telephone_number": "562-944-3495",
            "fax_number": "562-944-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICAL IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-944-3595"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02264F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.