Organization Active NPI

Acupuncture-Medical Pain Management Centers

Doing business as Source Rehab P.T.

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1639219256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACUPUNCTURE-MEDICAL PAIN MANAGEMENT CENTERS
Doing business as
Source Rehab P.T.
Practice address
1450 E 17TH St Ste 220
Santa Ana, CA 92705-8510
Phone
(310) 699-3369
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Steve Hing
Title
President
Phone
(310) 699-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1450 E 17TH St Ste 220
Santa Ana, CA 92705-8510

Mailing address

PO Box 27294
Anaheim, CA 92809-0108

Other names 1

  • Source Rehab P.T. Doing business as

National Provider Directory

National Provider Directory

Locations

1450 E 17th St
Ste 220
Santa Ana, CA 92705
Phone (714) 543-4500

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639219256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27294",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E 17TH ST STE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058510",
            "telephone_number": "310-699-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE-MEDICAL PAIN MANAGEMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HING",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-699-3369"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Source Rehab P.T.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, 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.