Organization Active NPI

Pacificcare Rehab, Inc.

  • Rehabilitation Clinic/Center
  • Bellflower, CA
National Provider Identifier
1922288570
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PACIFICCARE REHAB, INC.
Practice address
9625 Park St
C
Bellflower, CA 90706-5836
Phone
(877) 477-3422
Fax
(877) 477-3422
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mr. Romy Galicia, OTR
Title
President
Phone
(877) 477-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

9625 Park St
C
Bellflower, CA 90706-5836

Mailing address

9625 Park St
C
Bellflower, CA 90706-5836
Phone (877) 477-3422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1922288570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 PARK ST",
            "address_2": "C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065836",
            "telephone_number": "877-477-3422",
            "fax_number": "877-477-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 PARK ST",
            "address_2": "C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065836",
            "telephone_number": "877-477-3422",
            "fax_number": "877-477-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICCARE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GALICIA",
        "authorized_official_first_name": "ROMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-477-3422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.