Crown City Rehabilitation Institute Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CROWN CITY REHABILITATION INSTITUTE INC

Practice address

2693 E Washington Blvd
Pasadena, CA 91107-1412

Phone

(626) 798-8600

Fax

(626) 296-1403

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. M. Amber Amber Tyson, M.D.

Title

Physician

Phone

(626) 798-8600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1841451465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071412",
            "telephone_number": "626-798-8600",
            "fax_number": "626-296-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071412",
            "telephone_number": "626-798-8600",
            "fax_number": "626-296-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CITY REHABILITATION INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "M. AMBER",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-798-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Cross
• Ricky Crowder
• Crown City Adult Day Health Care Center Inc
• Crown City Medical Group, Inc.
• Crown City Orthotics and Prosthetics LLC.
• Susanne E Crummey
• Amanda Cruse, MSW
• Kimberly Cruz Lopez
• Ariel Lauren Cruz
• Aura Marina Cruz

• Physical Medicine & Rehabilitation Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.