Active NPI
A G Rehab Center
- Hand Occupational Therapist
- Victorville, CA
National Provider Identifier
1497966089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT7058
- Legal business name
- A G REHAB CENTER
- Practice address
- 12998 Hesperia Rd
Suite Number 103
Victorville, CA 92395-8316 - Phone
- (760) 245-4800
- NPI assigned
- May 24, 2007
- Last updated
- Aug 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Archana Chaturvedi
- Title
- President
- Phone
- (951) 929-6260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT7058 | CA | Primary |
Addresses
Primary practice location
12998 Hesperia Rd
Suite Number 103
Victorville, CA 92395-8316
Mailing address
PO Box 6755
Fullerton, CA 92834-6755
Phone (951) 929-6260
National Provider Directory
National Provider DirectoryLocations
12988 Hesperia Rd
Ste 103
Victorville, CA 92395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1497966089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6755",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928346755",
"telephone_number": "951-929-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12998 HESPERIA RD",
"address_2": "SUITE NUMBER 103",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958316",
"telephone_number": "760-245-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A G REHAB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "CHATURVEDI",
"authorized_official_first_name": "ARCHANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-929-6260"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT7058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.