Individual provider Active NPI

Jeffrey Allen Hostak, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1740629302
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40177 Issued in CA
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

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190501002538 CA Practitioner - Physical Therapist in Private Practice 8325380959 Reassigns benefits to 1 organization

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
RPM Rehab IncGroup PAC ID 0244313187, 19 clinicians

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

LicenseStateTypeSpecialty
40177CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Rehab, Inc. Current Accepting new patients
RPM Rehab, Inc. CurrentSince Dec 22, 2019 Accepting new patients
RPM Rehab, Inc CurrentSince Dec 22, 2019 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.

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.

Verify at the official NPI Registry.