Aij, Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

AIJ, INC

Doing business as

La Mesa Rehab

Practice address

8380 Center Dr
# E
La Mesa, CA 91942-2952

Phone

(619) 466-6077

Fax

(619) 466-6118

NPI assigned

Jul 18, 2005

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tami PeavyNPI 1871597286

Title

Ceo

Phone

(619) 466-6077

Specialties & licenses 3

Addresses

Other names 1

• La Mesa Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962401398. Details of each certification follow.

• CCN 054536 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 054536

Legal name

LA MESA REHAB

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Jul 17, 2001

Last certification

Jan 11, 2024

Ownership / control type

Proprietary

Facility address

8380 Center Drive, # E
La Mesa, CA 91942

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tami Peavy, PT

  • Physical Therapist
  • Alhambra, CA
  • NPI 1871597286
  NPD Authorized official
• Christopher Shawn Molloy

  • Other Technician
  • Portsmouth, VA
  • NPI 1295715316
  NPD
• Laura Maurer, OTR/L

  • Occupational Therapist
  • La Mesa, CA
  • NPI 1114812005
  NPD (past)
• Laura Eve Maurer, MD, MPH

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1609305739
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1962401398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 CENTER DR",
            "address_2": "# E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422952",
            "telephone_number": "619-466-6077",
            "fax_number": "619-466-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 CENTER DR",
            "address_2": "# E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422952",
            "telephone_number": "619-466-6077",
            "fax_number": "619-466-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIJ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "PEAVY",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-466-6077"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27486",
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "CA",
            "license": "22847",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Mesa Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Mesa Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Itzel Aguirre
• Malaz Ahmed, RRT
• Nida Ahmed
• Wadie Nabih Ahwal, D.D.S.
• Joseph P Aiello, D.O.
• Aireen L. Gutierrez, M.D., Inc.
• Carrie Aisen, M.D.
• Suzuka Akegami, RBT
• Shaina Marie Aktan, M.S., CCC-SLP
• Leena Sabah Abdulaziz Al Anni, RPH

• Comprehensive Outpatient Rehabilitation Facility (CORF) in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.