Aij, Inc
Organization Active NPI Comprehensive Outpatient Rehabilitation Facility (CORF) · La Mesa, CA
NPI 1962401398 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1962401398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
- Legal business name
- AIJ, INC
- Practice address
- 8380 Center Dr
# E
La Mesa, CA 91942-2952 - Phone
- (619) 466-6077
- Fax
- (619) 466-6118
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Tami Peavy
- Title
- Ceo
- Phone
- (619) 466-6077
Practitioners 4
-
Tami Peavy, PT
-
Laura Maurer, OTR/L
-
Laura Eve Maurer, MD, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070125000622 | CA | Part a Provider - Comprehensive Outpatient Rehabilitation Facility | 1456352947 | Practice locations: La Mesa, CA |
National Provider Directory
Locations
8380 Center Dr
Ste E
La Mesa, CA 91942
Phone (619) 466-6077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 27486 | CA | |
| Pulmonary Rehabilitation Certified Respiratory Therapist |
2278P1005X | 22847 | CA | |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Yes |
Addresses
Primary practice location
8380 Center Dr
# E
La Mesa, CA 91942-2952
Mailing address
8380 Center Dr
# E
La Mesa, CA 91942-2952
Phone (619) 466-6077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ64706Z | Other | CA | BLUE SHIELD OF CA |
Other names
- La Mesa Rehab
Other providers in La Mesa, CA
- Itzel Aguirre
- Malaz Ahmed
- Nida Ahmed
- Wadie Nabih Ahwal
- Joseph P Aiello
- Aireen L. Gutierrez, M.D., Inc.
- Carrie Aisen
- Suzuka Akegami
- Shaina Marie Aktan
- Leena Sabah Abdulaziz Al Anni
All providers in La Mesa, CA · Comprehensive Outpatient Rehabilitation Facility (CORF) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.