NPIMap

Organization Active NPI

Southern California Health & Rehabilitation Program

  • Community/Behavioral Health Agency
  • Bellflower, CA
National Provider Identifier
1659642908
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Practice address
14371 Clark Ave
Bellflower, CA 90706-2901
Phone
(310) 631-8004
Fax
(310) 631-7830
NPI assigned
Jan 18, 2012
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Jack Barbour, MDNPI 1568482792
Title
Ceo / President
Phone
(310) 631-8004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14371 Clark Ave
Bellflower, CA 90706-2901

Mailing address

2610 Industry Way
Suite a
Lynwood, CA 90262-4283
Phone (310) 631-8004

Other identifiers 1

IdentifierTypeStateIssuer
7824MedicaidCA

Other names 1

  • SCHARP Bellflower Other name

National Provider Directory

National Provider Directory
Tax ID family
Scharp Bellflower3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1659642908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 INDUSTRY WAY",
            "address_2": "SUITE A",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624283",
            "telephone_number": "310-631-8004",
            "fax_number": "310-631-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14371 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062901",
            "telephone_number": "310-631-8004",
            "fax_number": "310-631-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BARBOUR",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "310-631-8004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7824",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHARP Bellflower",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SCHARP Bellflower",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.