Genesis Rehab Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15157 Issued in CA

Legal business name

GENESIS REHAB SERVICES

Practice address

7716 W Manchester Ave
Playa del Rey, CA 90293-8408

Phone

(310) 823-4694

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESIS REHAB SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Rahim Kanji

Title

Rehab Program Manager

Phone

(310) 823-4694

Specialties & licenses 1

Addresses

Tax ID family

Genesis Eldercare Rehab LLC209 organizations share this tax ID, including this one

Part of

Genesis Eldercare Rehab LLC

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Genesis Rehab

  • Rehabilitation Hospital Unit
  • Alameda, CA
  • NPI 1154669349
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • San Jose, CA
  • NPI 1821973256
  NPD tax ID

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1598004103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 S NORMANDIE AVE # 213",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 W MANCHESTER AVE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938408",
            "telephone_number": "310-823-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS REHAB SERVICES",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "KANJI",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "REHAB PROGRAM MANAGER",
        "authorized_official_telephone_number": "310-823-4694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "15157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Friedman, PHD, MFCC
• Steven H. Fujimoto, DDS
• Melody Gabriel, DPT
• Bernard Gaston, D.D.S.
• Genesis Rehab
• George P Gleckler, MFT
• Anna Gonzales, OTR
• Lauren Goodell, MPT
• Rush David Goodman, D.M.D.
• John Robert Green, L.C.S.W.

• Skilled Nursing Facility in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.