Organization Active NPI

New Life Rehab and Acupuncture, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fontana, CA
National Provider Identifier
1447705538
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
053961 Issued in CA
Legal business name
NEW LIFE REHAB AND ACUPUNCTURE, INC
Practice address
9161 Sierra Ave
Fontana, CA 92335-4729
Phone
(909) 428-6882
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Ashley Benz Trino, PTNPI 1790088094
Title
Ceo
Phone
(310) 701-4349

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 053961 CA Primary

Addresses

Primary practice location

9161 Sierra Ave
Fontana, CA 92335-4729

Mailing address

9161 Sierra Ave
Fontana, CA 92335-4729
Phone (909) 428-6882

National Provider Directory

National Provider Directory

Locations

9161 Sierra Ave
Fontana, CA 92335
Phone (909) 427-4073

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1447705538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354729",
            "telephone_number": "909-428-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354729",
            "telephone_number": "909-428-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE REHAB AND ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "TRINO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BENZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-701-4349",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "053961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.