Organization Active NPI

A G Rehab Center

  • Hand Occupational Therapist
  • Victorville, CA
National Provider Identifier
1497966089
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT7058 Issued in CA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.