NPIMap

Organization Active NPI

Pristine Rehabcare Inc

  • Hearing and Speech Clinic/Center
  • Diamond Bar, CA
National Provider Identifier
1801269345
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SP 23434 Issued in CA
Legal business name
PRISTINE REHABCARE INC
Practice address
706 N Diamond Bar Blvd
B-2
Diamond Bar, CA 91765-1059
Phone
(909) 396-8900
Fax
(909) 396-9900
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Raksha Meti Rajashekar, SLP
Title
Speech Language Pathologist
Phone
(909) 396-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SP 23434 CA Primary

Addresses

Primary practice location

706 N Diamond Bar Blvd
B-2
Diamond Bar, CA 91765-1059

Mailing address

706 N Diamond Bar Blvd
B-2
Diamond Bar, CA 91765-1059
Phone (909) 396-8900

National Provider Directory

National Provider Directory
Tax ID family
Pristine Rehab Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

706 N Diamond Bar Blvd
#B2
Diamond Bar, CA 91765
Phone (909) 396-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1801269345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N DIAMOND BAR BLVD",
            "address_2": "B-2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651059",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N DIAMOND BAR BLVD",
            "address_2": "B-2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651059",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE REHABCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "RAJASHEKAR",
        "authorized_official_first_name": "RAKSHA",
        "authorized_official_middle_name": "METI",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "909-396-8900",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "SP 23434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.