CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER – NPI #1922604313
Clinic/Center

CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER is an AHC clinic located in COSTA MESA, CA. NPPES has assigned the NPI number 1922604313 to CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER on December 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CALIFORNIA REHAB AND SPORTS THERAPY. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 2 years ago on Feb 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER below.

NPI Profile for
CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER

NPI Number
1922604313
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER
Former Legal Business Name: CALIFORNIA REHAB AND SPORTS THERAPY
Primary location
1640 NEWPORT BLVD STE 260
COSTA MESA, CA 92627-7736
Phone: (949) 335-7967 Fax: (714) 248-0925
Mailing address
2600 DALLAS PKWY STE 290
FRISCO, TX 75034-7493
Phone: (945) 050-0010 Fax:
Organization Subpart
No
Authorized Official
ROBERT PACE
OWNER
Phone: (213) 804-1712
Updated
Certification Date
Feb 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.