Kenneth B. Rehm, D.P.M.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

E2808 Issued in CA

Legal business name

KENNETH B. REHM, D.P.M.

Practice address

1600 S Imperial Ave
Suite 3
El Centro, CA 92243-4242

Phone

(760) 335-3545

Fax

(760) 335-3613

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Bruce Rehm, D.P.M.

Title

Owner

Phone

(760) 744-6226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DIABETIC FOOT & WOUND MGM Doing business as

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1770714396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 GRAND AVE",
            "address_2": "SUITE B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782427",
            "telephone_number": "760-744-6226",
            "fax_number": "760-744-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S IMPERIAL AVE",
            "address_2": "SUITE 3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242",
            "telephone_number": "760-335-3545",
            "fax_number": "760-335-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B. REHM, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "REHM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-744-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E2808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E28081",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABETIC FOOT & WOUND MGM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Kazzazi, OD
• Edna Keefer
• Sheila Kellenbeck
• Dawn Michele Kelley-Lewis, NURSE PRACTITIONER
• Georgene Terese Kelley-Rondero, DDS
• Kenneth Stephan Brown MD a Professional Corporation
• Hamlet Khachatryan, DDS
• Waqar Arshad Khan, MD
• Khorsand DMD Inc
• Arash Khorsand, DMD

• Durable Medical Equipment & Medical Supplies in El Centro, CA
• Providers in El Centro, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.