Active NPI
Deborah Weller
- Rehabilitation Practitioner
- El Monte, CA
National Provider Identifier
1720239486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 11927 Elliott Ave
El Monte, CA 91732-3740 - Phone
- (626) 350-0805
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
11927 Elliott Ave
El Monte, CA 91732-3740
Mailing address
1977 N Garey Ave
Ste 6
Pomona, CA 91767-2774
Phone (909) 623-6651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001588 | Other | CA | LACDMH STAFF CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1720239486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1977 N GAREY AVE",
"address_2": "STE 6",
"city": "POMONA",
"state": "CA",
"postal_code": "917672774",
"telephone_number": "909-623-6651",
"fax_number": "909-623-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11927 ELLIOTT AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917323740",
"telephone_number": "626-350-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LACDMH STAFF CODE",
"identifier": "0001588",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.