NPIMap

Organization Active NPI

Center for Independent Rehabilitative Services, Inc.

  • Prosthetic/Orthotic Supplier
  • San Jose, CA
National Provider Identifier
1841283850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC.
Practice address
2211 Moorpark Ave
Ste. 230
San Jose, CA 95128-2654
Phone
(408) 995-0144
Fax
(408) 995-0121
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erica F Baham
Title
MGR, Administrative Services
Phone
(408) 995-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2211 Moorpark Ave
Ste. 230
San Jose, CA 95128-2654

Mailing address

2211 Moorpark Ave
Ste. 230
San Jose, CA 95128-2654
Phone (408) 995-0144

Other names 1

  • CIRS Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Independent Rehabilitative Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2211 Moorpark Ave
Ste 230
San Jose, CA 95128
Phone (408) 995-0144

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841283850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "STE. 230",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-995-0144",
            "fax_number": "408-995-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "STE. 230",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-995-0144",
            "fax_number": "408-995-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAHAM",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MGR, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "408-995-0144"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIRS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.