Organization Active NPI

West Coast Rehab Center, Medical Corporation

  • Electrodiagnostic Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1891443222
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
WEST COAST REHAB CENTER, MEDICAL CORPORATION
Practice address
18351 Beach Blvd Ste F
Huntington Beach, CA 92648-1347
Phone
(714) 847-0010
Fax
(714) 847-0017
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Michael MenardNPI 1346362993
Title
Administrator
Phone
(714) 847-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

18351 Beach Blvd Ste F
Huntington Beach, CA 92648-1347

Mailing address

PO Box 11689
Westminster, CA 92685-1689
Phone (714) 847-0010

National Provider Directory

National Provider Directory
Tax ID family
West Coast Rehab Center Medical Corporation2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1891443222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11689",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851689",
            "telephone_number": "714-847-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481347",
            "telephone_number": "714-847-0010",
            "fax_number": "714-847-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST REHAB CENTER, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-847-0010"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.