Organization Active NPI

Inland Valley Rehabilitation

  • Chiropractor
  • Upland, CA
National Provider Identifier
1689877987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0254590 Issued in CA
Legal business name
INLAND VALLEY REHABILITATION
Practice address
886 W Foothill Blvd
Ste. E
Upland, CA 91786-3769
Phone
(909) 946-2673
Fax
(909) 946-1872
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sean Shukue Kono, D.C
Title
Owner
Phone
(909) 946-2673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0254590 CA Primary

Addresses

Primary practice location

886 W Foothill Blvd
Ste. E
Upland, CA 91786-3769

Mailing address

886 W Foothill Blvd
Ste. E
Upland, CA 91786-3769
Phone (909) 946-2673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689877987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 W FOOTHILL BLVD",
            "address_2": "STE. E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863769",
            "telephone_number": "909-946-2673",
            "fax_number": "909-946-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 W FOOTHILL BLVD",
            "address_2": "STE. E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863769",
            "telephone_number": "909-946-2673",
            "fax_number": "909-946-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONO",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SHUKUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-946-2673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0254590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.