NPIMap

Organization Active NPI

San Bernardino County Public Health Dept.

  • Pediatric Physical Therapist
  • Montclair, CA
National Provider Identifier
1891872081
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.
Practice address
4825 Moreno St
Montclair Mtu
Montclair, CA 91763-1419
Phone
(909) 445-1665
Fax
(909) 445-1622
NPI assigned
Nov 1, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Maxwell Ohikhuare, M.D.
Title
Public Health Officer
Phone
(909) 387-6219

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Pediatric Physical Therapist 2251P0200X Primary
Physical Therapy Assistant 225200000X
Pediatric Occupational Therapist 225XP0200X

Addresses

Primary practice location

4825 Moreno St
Montclair Mtu
Montclair, CA 91763-1419

Mailing address

451 E Vanderbilt Way
San Bernardino, CA 92408-3641
Phone (909) 387-6218

Other identifiers 1

IdentifierTypeStateIssuer
CCS00089FOtherCAREHAB CLINIC

Other names 1

  • California Children's Services Other name

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D143 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4825 Moreno St
Montclair, CA 91763
Phone (909) 445-1661

351 N Mountain View Ave
Sn Bernrdno, CA 92415
Phone (909) 387-6222

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1891872081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E VANDERBILT WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083641",
            "telephone_number": "909-387-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 MORENO ST",
            "address_2": "MONTCLAIR MTU",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631419",
            "telephone_number": "909-445-1665",
            "fax_number": "909-445-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "OHIKHUARE",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "PUBLIC HEALTH OFFICER",
        "authorized_official_telephone_number": "909-387-6219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHAB CLINIC",
            "identifier": "CCS00089F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Children's Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.