Organization Active NPI

Kenneth Rehm

  • Durable Medical Equipment & Medical Supplies
  • San Marcos, CA
National Provider Identifier
1508041575
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KENNETH REHM
Practice address
1553 Grand Ave
San Marcos, CA 92078-2427
Phone
(760) 744-6226
Fax
(760) 744-6277
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Dr. Kenneth Bruce Rehm, DPM
Title
Owner
Phone
(760) 744-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

1553 Grand Ave
San Marcos, CA 92078-2427

Mailing address

1553 Grand Ave
San Marcos, CA 92078-2427
Phone (760) 744-6226

Other names 1

  • Diabetic Foot & Wound MGMT Doing business as

National Provider Directory

National Provider Directory

Locations

1553 Grand Ave
#B
San Marcos, CA 92078
Phone (760) 744-6226

1553 Grand Ave
San Marcos, CA 92078
Phone (619) 647-1078

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1508041575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 GRAND AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782427",
            "telephone_number": "760-744-6226",
            "fax_number": "760-744-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 GRAND AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782427",
            "telephone_number": "760-744-6226",
            "fax_number": "760-744-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH REHM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "REHM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-744-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Foot & Wound MGMT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.