Organization Active NPI

Mednet Inc.

  • Physical Therapy Clinic/Center
  • Downey, CA
National Provider Identifier
1780956078
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT12110 Issued in CA
Legal business name
MEDNET INC.
Practice address
12115 Paramount Blvd
Downey, CA 90242-2309
Phone
(562) 250-2002
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mr. Howard H Dideban, MA
Title
Director/Administrator
Phone
(562) 250-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT12110 CA Primary

Addresses

Primary practice location

12115 Paramount Blvd
Downey, CA 90242-2309

Mailing address

12115 Paramount Blvd
Downey, CA 90242-2309
Phone (562) 250-2002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1780956078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422309",
            "telephone_number": "562-250-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422309",
            "telephone_number": "562-250-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "DIDEBAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "562-250-2002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT12110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.