Active Physical Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE PHYSICAL MEDICINE

Practice address

7890 Haven Ave
Suite 1
Rancho Cucamonga, CA 91730-3051

Phone

(619) 265-0291

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sindy Tadros, D.O.

Title

Ceo

Phone

(909) 581-3051

Specialties & licenses 2

Addresses

Tax ID family

Active Physical Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sindy Tadros Medical PC

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1972977643
  NPD tax ID

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1659651677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE",
            "address_2": "SUITE #1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-581-3051",
            "fax_number": "909-581-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE",
            "address_2": "SUITE 1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303051",
            "telephone_number": "619-265-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "SINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-581-3051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Acosta-Segura, MSW
• Charlene Acosta
• Jonathan Acosta, MD
• Raul Acosta
• Activcare Med Group Inc
• Actualize Psychological Services Inc
• Leanna Adame
• Lisa Adams-Mann, M.S.
• Shilo Adams
• Styler Ashtin Adamson I

• Chiropractor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.