South Pacific Rehabilitation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTH PACIFIC REHABILITATION

Practice address

16260 Ventura Blvd
Encino, CA 91436-2203

Phone

(818) 986-1977

NPI assigned

Jan 16, 2016

Organization subpart

No

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

Authorized official

Name

Katherine Duque, M.S. CCC

Title

SLP

Phone

(818) 986-1977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452902400000",
    "number": "1649637968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-986-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PACIFIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "818-986-1977",
        "authorized_official_credential": "M.S. CCC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangelina Sotelo-Bolanos
• Michelle Soto
• South Florida Accountable Care Organization Inc
• South Pacific Medical Associates Inc
• South Pacific Rehab Services
• South Pacific Sleep Lab, Inc.
• South Valley Regional Dialysis Center Inc
• South Valley Senior Care LLC
• Southern California Advanced Diagnostic
• Southern California Allergy

• Assisted Living Facility in Encino, CA
• Providers in Encino, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; 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.