Pacific Empire Physical Medicine and Healthcare Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A92433 Issued in CA

Legal business name

PACIFIC EMPIRE PHYSICAL MEDICINE AND HEALTHCARE INC

Practice address

4590 Riverside Dr
Chino, CA 91710-3980

Phone

(909) 464-9880

Fax

(909) 591-4720

NPI assigned

May 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Ali Halati, MD

Title

Director

Phone

(909) 464-9880

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Gary L Sannes, DC

  • Chiropractor
  • Chino, CA
  • NPI 1568519460
  Medicare reassignment
• Meera Jani, D.C.

  • Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1285687921
  NPD (past)
• Franklin Donald Sihock Jr., D.C.

  • Chiropractor
  • Chino, CA
  • NPI 1851430516
  NPD (past)
• Daniel Duwayne Hamilton, D.C.

  • Chiropractor
  • Dry Ridge, KY
  • NPI 1821382201
  NPD (past)

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1912385451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103980",
            "telephone_number": "909-464-9880",
            "fax_number": "909-591-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103980",
            "telephone_number": "909-464-9880",
            "fax_number": "909-591-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EMPIRE PHYSICAL MEDICINE AND HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "HALATI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-464-9880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92433",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "PA18558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Family Medical Group, Inc.
• Jenny Ov, MD
• Oxy-Zen, Inc.
• Pacific Coast Dermatology, Inc.
• Pacific Empire Chiropractic a Professional Chiropractic Corporation
• Carlos Padilla
• Karla Padilla
• Cynthia L Page, RN
• Gladys Maria Paharik, FNP-C
• Wendy Paiva, PA-C

• General Practice Physician in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.