Organization Active NPI

California Pediatric Rehabilitation

  • Pediatric Rehabilitation Medicine Physician
  • Pleasant Hill, CA
National Provider Identifier
1457626673
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
G87876 Issued in CA
Legal business name
CALIFORNIA PEDIATRIC REHABILITATION
Practice address
400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147
Phone
(510) 900-2020
Fax
(925) 691-9820
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Jacob A Neufeld, M.D.
Title
Owner
Phone
(804) 855-4871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P0010X G87876 CA Primary

Addresses

Primary practice location

400 Taylor Blvd
Suite 306
Pleasant Hill, CA 94523-2147

Mailing address

2342 Shattuck Ave
Suite 138
Berkeley, CA 94704-1517
Phone (510) 900-2020

Other names 1

  • California Pediatric Rehabilitation Associates, Inc. Other name

National Provider Directory

National Provider Directory

Locations

400 Taylor Blvd
Ste 306
Pleasant Hill, CA 94523
Phone (925) 588-3592

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1457626673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 SHATTUCK AVE",
            "address_2": "SUITE 138",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041517",
            "telephone_number": "510-900-2020",
            "fax_number": "510-550-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "address_2": "SUITE 306",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "510-900-2020",
            "fax_number": "925-691-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PEDIATRIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "NEUFELD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-855-4871",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "G87876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pediatric Rehabilitation Associates, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.