Active NPI
Jeffrey Allen Hostak, P.T.
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
National Provider Identifier
1740629302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40177
- Practice address
- 2208 W 7TH St
Los Angeles, CA 90057-4002 - Phone
- (213) 637-2530
- Fax
- (213) 384-3373
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40177 | CA | Primary |
Addresses
Primary practice location
2208 W 7TH St
Los Angeles, CA 90057-4002
Mailing address
PO Box 10432
Beverly Hills, CA 90213-3432
Phone (213) 637-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1758 N Main St
Salinas, CA 93906-5103
Phone (831) 442-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40177 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPM Rehab, Inc. | Current | Accepting new patients | |
| RPM Rehab, Inc. | Current | Accepting new patients | |
| RPM Rehab, Inc | Current | Accepting new patients | |
| RPM Rebah, Inc | Past | Accepting new patients | |
| Los Angeles Clinica Medica General Medical Center, Inc. | Past | Accepting new patients | |
| RPM Rehab, Inc. | Past | Accepting new patients |
Locations
1758 N Main St
Salinas, CA 93906
Phone (831) 442-3700
330 Franklin Rd
Ste 102
Brentwood, TN 37027
Phone (760) 256-2800
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Salinas, CA
- NPI 1750312971
-
- Physical Therapist
- Barstow, CA
- NPI 1730478835
-
- Massage Therapist
- Yakima, WA
- NPI 1316903123
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265489751
-
- Physical Therapist
- Apple Valley, CA
- NPI 1508151945
-
- Physical Therapist
- Brentwood, TN
- NPI 1487088530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1740629302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10432",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902133432",
"telephone_number": "213-637-2530",
"fax_number": "213-384-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574002",
"telephone_number": "213-637-2530",
"fax_number": "213-384-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTAK",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "40177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.