NPIMap

Organization Active NPI

Hometown Medical Rehab

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1639435795
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102208089 Issued in CA
Legal business name
HOMETOWN MEDICAL REHAB
Practice address
671 Chemeketa Dr
A
San Jose, CA 95123-3039
Phone
(831) 435-1587
Fax
(877) 421-2401
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Brenda K Vega
Title
Owner
Phone
(831) 435-1587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102208089 CA Primary

Addresses

Primary practice location

671 Chemeketa Dr
A
San Jose, CA 95123-3039

Mailing address

671 Chemeketa Dr
A
San Jose, CA 95123-3039
Phone (831) 435-1587

Other names 1

  • Hometown Medical Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1639435795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 CHEMEKETA DR",
            "address_2": "A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233039",
            "telephone_number": "831-435-1587",
            "fax_number": "877-421-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 CHEMEKETA DR",
            "address_2": "A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233039",
            "telephone_number": "831-435-1587",
            "fax_number": "877-421-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-435-1587"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102208089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Medical Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.