NPIMap

Organization Active NPI

Novacare Rehabilitation

  • Physical Disabilities Residential Treatment Facility
  • Oakland, CA
National Provider Identifier
1962460691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
6309 Issued in CA
Legal business name
NOVACARE REHABILITATION
Practice address
1814 Franklin St
Suite 905
Oakland, CA 94612-3426
Phone
(510) 893-7463
Fax
(510) 893-7463
NPI assigned
May 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Arnold Angeles Varilla, OTR/L
Title
Occupational Therapist
Phone
(510) 893-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 6309 CA Primary

Addresses

Primary practice location

1814 Franklin St
Suite 905
Oakland, CA 94612-3426

Mailing address

1814 Franklin St
Oakland, CA 94612-3439
Phone (510) 893-7463

Other names 1

  • Select Medical Corporation Other name

National Provider Directory

National Provider Directory
Tax ID family
Vibrantcare Outpatient Rehabilitation Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

1814 Franklin St
Ste 905
Oakland, CA 94612
Phone (510) 893-7463

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962460691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 FRANKLIN ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123439",
            "telephone_number": "510-893-7463",
            "fax_number": "510-893-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 FRANKLIN ST",
            "address_2": "SUITE 905",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123426",
            "telephone_number": "510-893-7463",
            "fax_number": "510-893-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARILLA",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "510-893-7463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Medical Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.