Organization Active NPI

Valencia Sports Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Valencia, CA
National Provider Identifier
1972897965
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G74794 Issued in CA
Legal business name
VALENCIA SPORTS MEDICINE AND REHAB
Practice address
24517 Town Center Dr
Valencia, CA 91355-1328
Phone
(661) 288-1212
Fax
(661) 288-1715
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Jeff David Bowne, D.C
Title
Chiropractor
Phone
(661) 288-2224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC28344 CA
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X G74794 CA Primary

Addresses

Primary practice location

24517 Town Center Dr
Valencia, CA 91355-1328

Mailing address

24517 Town Center Dr
Valencia, CA 91355-1328
Phone (661) 288-1212

National Provider Directory

National Provider Directory

Locations

24517 Town Center Dr
Valencia, CA 91355
Phone (661) 288-1212

Practitioners & affiliated clinicians

Practitioners 2

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": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1972897965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24517 TOWN CENTER DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551328",
            "telephone_number": "661-288-1212",
            "fax_number": "661-288-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24517 TOWN CENTER DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551328",
            "telephone_number": "661-288-1212",
            "fax_number": "661-288-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA SPORTS MEDICINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "BOWNE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "661-288-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28344",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G74794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.