Organization Active NPI

Gordon David Mason

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1619000445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GORDON DAVID MASON
Doing business as
Mason Physical Rehabilitation
Practice address
3579 Arlington Ave
Suite 400
Riverside, CA 92506-3915
Phone
(951) 788-7778
Fax
(951) 682-4188
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gordon Mason
Title
Owner
Phone
(951) 788-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3579 Arlington Ave
Suite 400
Riverside, CA 92506-3915

Mailing address

3579 Arlington Ave
Suite 400
Riverside, CA 92506-3915
Phone (951) 788-7778

Other names 1

  • Mason Physical Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

3579 Arlington Ave
Ste 400
Riverside, CA 92506
Phone (951) 788-7778

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619000445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 ARLINGTON AVE",
            "address_2": "SUITE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063915",
            "telephone_number": "951-788-7778",
            "fax_number": "951-682-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 ARLINGTON AVE",
            "address_2": "SUITE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063915",
            "telephone_number": "951-788-7778",
            "fax_number": "951-682-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON DAVID MASON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-788-7778"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Physical Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.