Active NPI
Socal Rehab Consultants Inc
- Physical Medicine & Rehabilitation Physician
- San Bernardino, CA
National Provider Identifier
1780182816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SOCAL REHAB CONSULTANTS INC
- Practice address
- 1760 W 16TH St
San Bernardino, CA 92411-1160 - Phone
- (909) 529-6921
- Fax
- (951) 688-1432
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Montes
- Title
- Office Administrator
- Phone
- (951) 310-8232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1760 W 16TH St
San Bernardino, CA 92411-1160
Mailing address
25612 Barton Rd Ste 266
Loma Linda, CA 92354-3110
Phone (909) 529-6921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 Terracina Blvd
Redlands, CA 92373
Phone (909) 793-2271
1620 W Fern Ave
Redlands, CA 92373
Phone (909) 793-2196
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- San Bernardino, CA
- NPI 1003040270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610496000000",
"number": "1780182816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25612 BARTON RD STE 266",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543110",
"telephone_number": "909-529-6921",
"fax_number": "951-688-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 W 16TH ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111160",
"telephone_number": "909-529-6921",
"fax_number": "951-688-1432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCAL REHAB CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "MONTES",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "951-310-8232"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.