California Rehab & Sports Therapy
Organization Active NPI Multi-Specialty Clinic/Center · Los Angeles, CA
NPI 1508540279 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1508540279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CALIFORNIA REHAB & SPORTS THERAPY
- Practice address
- 955 Carrillo Dr
Los Angeles, CA 90048-5400 - Phone
- (310) 854-0529
- NPI assigned
- Jun 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Robert Pace
- Title
- Coo
- Phone
- (213) 804-1712
Other NPIs on the same Medicare enrollment 24
Practitioners 270
-
Alexia Kate Agamata, PT, DPT, CSCS
-
Charleson Prince Godio Agustin, DPT, CMT, CSCS
-
Alexander Albarian, PT, DPT
-
Shiva Aslanpoor, PT DPT
-
Dylan Bailey, DPT
-
Joanna C Baum, P.T.
-
Sara Bayat, DPT
-
David V Bien, P.T.
-
Anthony F Bisaccia, P.T.
-
Peter Bishay, DPT
-
Nicholas John Bowden, DOCTORATE
-
Vicki E Breceda, OT
-
Julie A Bright, O.T.
-
Kathleen Minh Khanh Bui-Nguyen, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120001115 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6709788896 |
Receives reassigned benefits from 274 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Long Beach, CA; Mission Viejo, CA; Newport Beach, CA; Northridge, CA; Norwalk, CA; Orange, CA; Rancho Mission Viejo, CA; Rancho Santa Margarita, CA… |
National Provider Directory
Locations
2388 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 780-0010
9001 Wilshire Blvd
#200B
Beverly Hills, CA 90211
Phone (310) 860-1675
8907 Wilshire Blvd
Ste 248
Beverly Hills, CA 90211
Phone (310) 854-0529
2040 S Brea Canyon Rd
#106
Diamond Bar, CA 91765
Phone (909) 396-5035
17525 Ventura Blvd
Ste 205A
Encino, CA 91316
Phone (818) 377-4800
6930 Warner Ave
Huntington Beach, CA 92647
Phone (714) 847-3800
24050 Aliso Creek Rd
Ste 200
Laguna Niguel, CA 92677
Phone (949) 317-4454
955 Carrillo Dr
Los Angeles, CA 90048
Phone (310) 854-0529
12215 Telegraph Rd
Ste 110
Santa Fe Springs, CA 90670
Phone (562) 777-1333
27450 Ynez Rd
Ste 130
Temecula, CA 92591
Phone (909) 506-0084
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
955 Carrillo Dr
Los Angeles, CA 90048-5400
Mailing address
2035 Corte del Nogal Ste 200
Carlsbad, CA 92011-1445
Phone (760) 931-8310
Other providers in Los Angeles, CA
- California Pharmacy
- California Physicians Medical Group, Inc.
- California Post Acute LLC
- California Psychology Group Inc
- California Recuperative Partners
- California Rehab and Sports Therapy
- California Rehab and Sports Therapy
- California Rehabilitation Clinic
- California Rehabilitation Institute, LLC
- California Relationship Clinic
All providers in Los Angeles, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.