Advanced Physical Medicine & Rehab Group, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ADVANCED PHYSICAL MEDICINE & REHAB GROUP, INC.

Practice address

300 Grand Ave
Oakland, CA 94610-4826

Phone

(510) 465-3668

Fax

(510) 465-1332

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Richard Lavigna, DPMNPI 1952484495

Title

Owner, Vice President

Phone

(510) 465-3668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Charles Lavigna, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brentwood, TN
  • NPI 1952484495

  CA

  Medicare reassignment NPD Authorized official
• Michael Edwin Hebrard, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oakland, CA
  • NPI 1861575300
  Medicare reassignment
• Muriel Mayes, OMT RPT

  • Physical Therapist
  • Oakland, CA
  • NPI 1184806564
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1972685493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104826",
            "telephone_number": "510-465-3668",
            "fax_number": "510-465-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104826",
            "telephone_number": "510-465-3668",
            "fax_number": "510-465-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE & REHAB GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "LAVIGNA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER, VICE PRESIDENT",
        "authorized_official_telephone_number": "510-465-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel R Adricula, ATC
• Adrienne My-Tram Nguyen, DDS - Inc
• Irmgard Adrouny
• Kwasi Adusei
• Advanced Foot Clinic, Inc.
• Advanced Physical Medicine and Rehabilitaion Group
• Aescelon Inc. (Aescelon)
• Mona Parvin Afary, PH.D., MFT
• Affiliates in Dermatology Medical Group, Inc. (Affiliates In Dermatology)
• Affiliates in Imaging, a Medical Group Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.