Foothill Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOOTHILL REHAB CENTER, LLC

Practice address

401 W Ada Ave
Glendora, CA 91741-4241

Phone

(626) 335-9810

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abe Bak

Title

Manager

Phone

(818) 853-5760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1598287286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ADA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414241",
            "telephone_number": "626-335-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-853-5760"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foothill Cosmetic Surgery Center
• Foothill Dermatology Medical Center
• Foothill Family Practice Medical Group Inc
• Foothill Nursing Company Partnership (Glendora Canyon Transitional Care Unit)
• Foothill Operations Inc. (Healthcare Equipment Center of SGV)
• Foothills Gastroenterology Medical Associates Inc
• Foothills Neurocare, a Psychological Corporation (Foothills Neurocare)
• Forever Smiles Pediatric Dentistry and Orthodontics
• Richard Leon Forgey, O.D.
• Richard Foss, PH.D.

• Skilled Nursing Facility in Glendora, CA
• Providers in Glendora, 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 Jul 13, 2017; 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.