Visalia Rehab Group Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VISALIA REHAB GROUP INC

Practice address

840 S Akers St
Visalia, CA 93277-8309

Phone

(808) 391-6419

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Matsuo Jr., MDNPI 1811252950

Title

President

Phone

(808) 391-6419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Samuel I Matsuo Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • Visalia, CA
  • NPI 1811252950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1669005799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 N QUINCY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778309",
            "telephone_number": "808-391-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALIA REHAB GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "MATSUO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-391-6419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visalia OBGYN Medical Associates Inc
• Visalia Pharmacy Inc (Visalia pharmacy)
• Visalia Pharmacy Inc (Visalia Pharmacy)
• Visalia Primary Care Nursing Inc
• Visalia Recovery Center
• Visalia Rehabilitative Medicine, Inc (Peak Physical Medicine)
• Visalia Rescue Mission
• Visalia Sport and Spine Rehabilitation Center Inc
• Visalia Unified School District
• Visalia Vascular Institute Inc

• Physical Medicine & Rehabilitation Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.