Active NPI
Rebecca Ruth Evert
- Rehabilitation Practitioner
- Ontario, CA
National Provider Identifier
1477884948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2990 Inland Empire Blvd
Suite 101
Ontario, CA 91764-4899 - Phone
- (909) 980-3427
- Fax
- (909) 945-3426
- NPI assigned
- Jan 23, 2010
- Last updated
- Feb 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
2990 Inland Empire Blvd
Suite 101
Ontario, CA 91764-4899
Mailing address
127 Anned Dr
Placentia, CA 92870-5635
Phone (714) 732-8357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1477884948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 ANNED DR",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705635",
"telephone_number": "714-732-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 INLAND EMPIRE BLVD",
"address_2": "SUITE 101",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644899",
"telephone_number": "909-980-3427",
"fax_number": "909-945-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERT",
"first_name": "REBECCA",
"middle_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-23",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.