Organization Active NPI

Excel Rehab Services, Inc

  • Rehabilitation Hospital Unit
  • Garden Grove, CA
National Provider Identifier
1679938633
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
PT19284 Issued in CA
Legal business name
EXCEL REHAB SERVICES, INC
Practice address
12562 Garden Grove Blvd
Garden Grove, CA 92843-1907
Phone
(714) 651-1717
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Danny S Pham, PHD, PT
Title
Chief Financial Officer
Phone
(714) 608-1778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X PT19284 CA Primary

Addresses

Primary practice location

12562 Garden Grove Blvd
Garden Grove, CA 92843-1907

Mailing address

9441 Shadwell Dr
Huntington Beach, CA 92646-7213
Phone (714) 608-1778

National Provider Directory

National Provider Directory

Locations

12562 Garden Grove Blvd
Garden Grove, CA 92843
Phone (417) 534-1700

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1679938633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 SHADWELL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467213",
            "telephone_number": "714-608-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12562 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431907",
            "telephone_number": "714-651-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-608-1778",
        "authorized_official_credential": "PHD, PT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "PT19284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.