Organization Active NPI

Impaq Rehabilitation Specialists, Inc

  • Rehabilitation Practitioner
  • San Francisco, CA
National Provider Identifier
1861557522
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
398166 Issued in CA
Legal business name
IMPAQ REHABILITATION SPECIALISTS, INC
Practice address
178 Denslowe Dr
San Francisco, CA 94132-2035
Phone
(415) 548-0000
Fax
(415) 333-6231
NPI assigned
Dec 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Mr. Cesar Arada
Title
President
Phone
(415) 548-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X 398166 CA Primary

Addresses

Primary practice location

178 Denslowe Dr
San Francisco, CA 94132-2035

Mailing address

178 Denslowe Dr
San Francisco, CA 94132-2035
Phone (415) 548-0000

National Provider Directory

National Provider Directory

Locations

1309 Allston Way
Berkeley, CA 94702
Phone (510) 848-8774

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1861557522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 DENSLOWE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322035",
            "telephone_number": "415-548-0000",
            "fax_number": "415-333-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 DENSLOWE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322035",
            "telephone_number": "415-548-0000",
            "fax_number": "415-333-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAQ REHABILITATION SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "ARADA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-548-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "398166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.