Organization Active NPI

Center for Independent Rehabilitative Services Inc

  • Prosthetic/Orthotic Supplier
  • Oakdale, CA
National Provider Identifier
1720014210
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC
Practice address
693 Hi Tech Parkway
Oakdale, CA 95361
Phone
(209) 845-8231
Fax
(209) 845-2883
NPI assigned
Jun 25, 2006
Last updated
Sep 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Jennifer Cree
Title
Contract Cordinator
Phone
(209) 845-8231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CA Primary

Addresses

Primary practice location

693 Hi Tech Parkway
Oakdale, CA 95361

Mailing address

693 Hi Tech Parkway
Oakdale, CA 95361
Phone (209) 845-8231

Other identifiers 1

IdentifierTypeStateIssuer
GXC000861MedicaidCA

National Provider Directory

National Provider Directory

Locations

693 Hi Tech Pkwy
Oakdale, CA 95361
Phone (209) 845-8231

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1720014210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 HI TECH PARKWAY",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "95361",
            "telephone_number": "209-845-8231",
            "fax_number": "209-845-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 HI TECH PARKWAY",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "95361",
            "telephone_number": "209-845-8231",
            "fax_number": "209-845-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "CREE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTRACT CORDINATOR",
        "authorized_official_telephone_number": "209-845-8231"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.