Organization Active NPI

Huntington Rehabilitation Medicine Associates

  • Physical Medicine & Rehabilitation Physician
  • Pasadena, CA
National Provider Identifier
1437194628
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HUNTINGTON REHABILITATION MEDICINE ASSOCIATES
Practice address
630 S. Raymond Ave
Ste #120
Pasadena, CA 91105-3036
Phone
(626) 403-1444
Fax
(626) 403-1448
NPI assigned
Jun 19, 2006
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Dr. Sunil Kumar Hegde, M.D.NPI 1003811340
Title
President
Phone
(626) 403-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Physical Therapist 225100000X
Hand Occupational Therapist 225XH1200X

Addresses

Primary practice location

630 S. Raymond Ave
Ste #120
Pasadena, CA 91105-3036

Mailing address

630 S. Raymond Ave
Ste #120
Pasadena, CA 91105-3036
Phone (626) 403-1444

Other identifiers 1

IdentifierTypeStateIssuer
GR0063130MedicaidCA

National Provider Directory

National Provider Directory

Locations

630 S Raymond Ave
Unit 120
Pasadena, CA 91105
Phone (626) 397-3801

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1437194628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S. RAYMOND AVE",
            "address_2": "STE #120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053036",
            "telephone_number": "626-403-1444",
            "fax_number": "626-403-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S. RAYMOND AVE",
            "address_2": "STE #120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053036",
            "telephone_number": "626-403-1444",
            "fax_number": "626-403-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON REHABILITATION MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "HEGDE",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-403-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.