Northern California Rehabilitation Associates, a Medical Corporation

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

NORTHERN CALIFORNIA REHABILITATION ASSOCIATES, A MEDICAL CORPORATION

Practice address

2209 Coffee Rd Suite a
Modesto, CA 95355

Phone

(209) 575-7520

Fax

(209) 575-7515

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Alan Peter Jakubowski, M.D.NPI 1609964261

Title

Owner

Phone

(209) 575-7520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alan Peter Jakubowski, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1609964261

  Rehabilitation Practitioner

  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1982785648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 COFFEE RD SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-575-7520",
            "fax_number": "209-575-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 COFFEE RD SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-575-7520",
            "fax_number": "209-575-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA REHABILITATION ASSOCIATES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWSKI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-575-7520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Noriega, PHARM. D.
• Brad Norleen Jr.
• Bridget D. Norman-Malme, MD
• North Modesto Family Resource Center
• Northern California Cancer Center
• Christopher Norton, BS
• Melissa Ann Norvise
• Lori Norwood Jr.
• Nov Modesto LLC (Orangeburg Manor)
• Stephen Leslie Novak, DC

• Rehabilitation Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.