Organization Active NPI

Pacific Rim Rehabilitation Center

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1952428443
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22207 Issued in CA
Legal business name
PACIFIC RIM REHABILITATION CENTER
Practice address
55 N 13TH St
Suite a
San Jose, CA 95112-3528
Phone
(408) 436-5522
Fax
(408) 436-8777
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Dr. Jinjian ChenNPI 1033126313
Title
Owner
Phone
(408) 436-5522

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC7085 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT22207 CA Primary

Addresses

Primary practice location

55 N 13TH St
Suite a
San Jose, CA 95112-3528

Mailing address

PO Box 4626
Mountain View, CA 94040-0626
Phone (408) 436-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123000463 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608778279 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

55 N 13th St
Ste A
San Jose, CA 95112
Phone (408) 295-2257

1715 Lundy Ave
Ste 132
San Jose, CA 95131
Phone (408) 436-5522

Practitioners & affiliated clinicians

Practitioners 5

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1952428443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4626",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940400626",
            "telephone_number": "408-436-5522",
            "fax_number": "408-436-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N 13TH ST",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123528",
            "telephone_number": "408-436-5522",
            "fax_number": "408-436-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JINJIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-436-5522",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7085",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.