SGH Rehab Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SGH REHAB INC

Practice address

38600 Medical Center Dr
Palmdale, CA 93551-4483

Phone

(509) 844-8960

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Stefan G Humphries, MD

Title

Owner

Phone

(509) 844-8960

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1669948337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760872",
            "telephone_number": "818-518-7226",
            "fax_number": "818-671-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38600 MEDICAL CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514483",
            "telephone_number": "509-844-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGH REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-844-8960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C158938",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Michele Serino, LMFT
• Ronald Jesse Serrano
• Jaronda Tiara Session, LCSW
• Sonia Preet Sethi, M.D.
• Tabitha Anita Seymour
• Rayan Shadrokh, RPH
• Anand M Shah, M.D.
• Mukund G Shah, M.D.
• Michelle Leah Shahbol, PHARMD
• Sarah Shakir

• Physical Medicine & Rehabilitation Physician in Palmdale, CA
• Providers in Palmdale, 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 Oct 19, 2018; 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.