NPIMap

Organization Active NPI

Bowlay Rehabilitation Centers, Inc.

  • Community/Behavioral Health Agency
  • Compton, CA
National Provider Identifier
1720423205
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190791-AP Issued in CA
Legal business name
BOWLAY REHABILITATION CENTERS, INC.
Practice address
439 W Compton Blvd
Compton, CA 90220-3008
Phone
(310) 919-5978
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Cindy Khaki, CAADAC II
Title
Dir. Clinical Services
Phone
(323) 243-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190791-AP CA Primary

Addresses

Primary practice location

439 W Compton Blvd
Compton, CA 90220-3008

Mailing address

439 W Compton Blvd
Compton, CA 90220-3008
Phone (310) 919-5978

Other identifiers 2

IdentifierTypeStateIssuer
197571OtherCACAL-OHMS NUMBER
19DAOtherCADMC PROVIDER NUMBER 19DA

Other names 1

  • Bowlay Rehabilitation Center Former legal business name

National Provider Directory

National Provider Directory

Locations

439 W Compton Blvd
Compton, CA 90220
Phone (310) 919-5978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1720423205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203008",
            "telephone_number": "310-919-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203008",
            "telephone_number": "310-919-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLAY REHABILITATION CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "KHAKI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIR. CLINICAL SERVICES",
        "authorized_official_telephone_number": "323-243-2949",
        "authorized_official_credential": "CAADAC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190791-AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL-OHMS NUMBER",
            "identifier": "197571",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC PROVIDER NUMBER 19DA",
            "identifier": "19DA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowlay Rehabilitation Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.