Active NPI
Total Rehabilitation Medicine Inc
- Physical Medicine & Rehabilitation Physician
- North Hollywood, CA
National Provider Identifier
1679730923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A97751
- Legal business name
- TOTAL REHABILITATION MEDICINE INC
- Practice address
- 5635 Cahuenga Blvd
North Hollywood, CA 91601-2104 - Phone
- (818) 308-7450
- Fax
- (818) 308-7795
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aliasghar Matin, MD
- Title
- Director
- Phone
- (818) 547-9870
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A97751 | CA | Primary |
| Physical Therapist | 225100000X | PT 12456 | CA | |
| Clinical Medical Laboratory | 291U00000X | MTA44130 | CA |
Addresses
Primary practice location
5635 Cahuenga Blvd
North Hollywood, CA 91601-2104
Mailing address
1407 Hillside Dr
Glendale, CA 91208-2416
Phone (818) 547-9870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679730923 | Other | CA | MEDI-CAL |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physical Therapy Clinic/Center
- North Hollywood, CA
- NPI 1417495904
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- North Hollywood, CA
- NPI 1962778480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1679730923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 HILLSIDE DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082416",
"telephone_number": "818-547-9870",
"fax_number": "818-547-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5635 CAHUENGA BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012104",
"telephone_number": "818-308-7450",
"fax_number": "818-308-7795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL REHABILITATION MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "MATIN",
"authorized_official_first_name": "ALIASGHAR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "818-547-9870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A97751",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 12456",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "MTA44130",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1679730923",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.