Active NPI
Excel Rehab Services, Inc
- Rehabilitation Hospital Unit
- Garden Grove, CA
National Provider Identifier
1679938633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- PT19284
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.