Organization Active NPI

Select Compcare

  • Neuromusculoskeletal Medicine & OMM Physician
  • San Bernardino, CA
National Provider Identifier
1568701282
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A8134 Issued in CA
Legal business name
SELECT COMPCARE
Practice address
225 W Hospitality LN
Stuite 200
San Bernardino, CA 92408-3256
Phone
(909) 890-3699
Fax
(909) 890-4395
NPI assigned
Feb 1, 2013
Organization subpart
Yes
Parent organization
HABITAT SOLUTIONS USAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Thomas Hobson
Title
Manager
Phone
(909) 890-3699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 20A8134 CA Primary

Addresses

Primary practice location

225 W Hospitality LN
Stuite 200
San Bernardino, CA 92408-3256

Mailing address

225 W Hospitality LN
Stuite 200
San Bernardino, CA 92408-3256
Phone (909) 890-3699

Other names 1

  • Habitat Solutions USA Former legal business name

National Provider Directory

National Provider Directory
Part of
Select Compcare

Locations

225 W Hospitality Ln
Ste 200
San Bernardino, CA 92408
Phone (909) 890-5856

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1568701282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN",
            "address_2": "STUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083256",
            "telephone_number": "909-890-3699",
            "fax_number": "909-890-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN",
            "address_2": "STUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083256",
            "telephone_number": "909-890-3699",
            "fax_number": "909-890-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT COMPCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HABITAT SOLUTIONS USA",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-890-3699"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A8134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habitat Solutions USA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.