Active NPI
Select Compcare
- Neuromusculoskeletal Medicine & OMM Physician
- San Bernardino, CA
National Provider Identifier
1568701282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 20A8134
- 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 USA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 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
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.