NPIMap

Organization Active NPI

Tri Star Medical Group & Rehab

Doing business as Tri Star Orthopaedics

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Bernardino, CA
National Provider Identifier
1578804696
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G47742 Issued in CA
Legal business name
TRI STAR MEDICAL GROUP & REHAB
Doing business as
Tri Star Orthopaedics
Practice address
164 W Hospitality LN
Ste. 16
San Bernardino, CA 92408-3316
Phone
(909) 888-8588
Fax
(909) 888-0689
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Christopher Armstrong, DC
Title
Cfo
Phone
(562) 684-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X G47742 CA Primary

Addresses

Primary practice location

164 W Hospitality LN
Ste. 16
San Bernardino, CA 92408-3316

Mailing address

7007 Washington Ave
Ste. 240
Whittier, CA 90602-1484
Phone (562) 684-1888

Other names 1

  • TRI STAR ORTHOPAEDICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri Star Orthopaedics9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

164 W Hospitality Ln
Ste 16
San Bernardino, CA 92408
Phone (909) 888-8588

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1578804696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WASHINGTON AVE",
            "address_2": "STE. 240",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021484",
            "telephone_number": "562-684-1888",
            "fax_number": "562-684-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN",
            "address_2": "STE. 16",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083316",
            "telephone_number": "909-888-8588",
            "fax_number": "909-888-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR MEDICAL GROUP & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "562-684-1888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G47742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI STAR ORTHOPAEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 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.