Center for Independent Rehabilitative Services, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC

Practice address

1508 Coffee Rd Ste a
Modesto, CA 95355

Phone

(209) 549-1000

Fax

(209) 549-1016

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eddie G Rogers, CPO

Title

President

Phone

(209) 549-1000

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1740219336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 COFFEE RD STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553181",
            "telephone_number": "209-549-1000",
            "fax_number": "209-549-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 COFFEE RD STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-549-1000",
            "fax_number": "209-549-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-549-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC000220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Human Services
• Center for Human Services
• Center for Human Services
• Center for Human Services
• Center for Independent Rehabilitative Services Inc
• Center for Sight of Stockton a Medical Corporation
• Central California Bariatric Surgery a Medical Corporation
• Central California Bariatric Surgery, Partnership
• Central California Cardiac Anesthesia
• Central California Wellness & Restoration

• Prosthetic/Orthotic Supplier in Modesto, CA
• Providers in Modesto, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.