Southern California Rehabilitation Medical Associates

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

SOUTHERN CALIFORNIA REHABILITATION MEDICAL ASSOCIATES

Practice address

501 S Buena Vista St
5TH Floor North Tower
Burbank, CA 91505-4809

Phone

(818) 847-3200

Fax

(818) 847-3205

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Clarice Cairns

Title

Office Manager

Phone

(818) 847-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lupo, MD

  • Physical Medicine & Rehabilitation Physician
  • Burbank, CA
  • NPI 1770541039
  Medicare reassignment Care Compare group NPD
• Michael Shabtai, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Northridge, CA
  • NPI 1942217021
  Medicare reassignment Care Compare group NPD
• John A.G. Villanueva, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burbank, CA
  • NPI 1518134543
  Medicare reassignment NPD
• Mohamed Z Kattih, M.D.

  • Rehabilitation Practitioner
  • Covina, CA
  • NPI 1104833383
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1487687455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5171",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913085171",
            "telephone_number": "818-847-3200",
            "fax_number": "818-847-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST",
            "address_2": "5TH FLOOR NORTH TOWER",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-847-3200",
            "fax_number": "818-847-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA REHABILITATION MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CAIRNS",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-847-3200"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G680740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Soss
• Arlete Soto Lopez
• Nancy Tapia Soto
• Roger Soulcheck, RPT
• Soulence Psychiatry and Wellness, a Professional Nursing Corporation
• Southwest Health Services, Inc.
• Sovaris, Inc.
• Sow Vibrant Language
• Bridget Spangler, R.N.
• Tanaya Sparkle, M.D.

• Rehabilitation Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.