NPIMap

Organization Active NPI

Rehabone Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Gilroy, CA
National Provider Identifier
1912450974
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A85503 Issued in CA
Legal business name
REHABONE MEDICAL GROUP, INC.
Practice address
7880 Wren Ave
Ste F-163
Gilroy, CA 95020-4943
Phone
(831) 225-0209
Fax
(408) 445-0875
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Marisol Olmos
Title
Credentialing Coordinator
Phone
(408) 445-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A85503 CA Primary

Addresses

Primary practice location

7880 Wren Ave
Ste F-163
Gilroy, CA 95020-4943

Mailing address

7880 Wren Ave
Ste F-163
Gilroy, CA 95020-4943
Phone (831) 225-0209

Other names 1

  • RehabOne Medical Group Inc Ste 3 Other name

National Provider Directory

National Provider Directory
Tax ID family
Rehabone Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1912450974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "STE F-163",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "831-225-0209",
            "fax_number": "408-445-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "STE F-163",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "831-225-0209",
            "fax_number": "408-445-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABONE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "408-445-8400"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A85503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabOne Medical Group Inc Ste 3",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RehabOne Medical Group Inc Ste 3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.