BASIC PHYSICAL MEDICINE – NPI #1245775360
Physical Medicine & Rehabilitation

A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

BASIC PHYSICAL MEDICINE is a provider located in IRVINE, CA. NPPES has assigned the NPI number 1245775360 to BASIC PHYSICAL MEDICINE on December 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BASIC PHYSICAL MEDICINE” is a dba name, the actual legal business name for this organization is NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.. The primary taxonomy selected by this provider is 2081P0004X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine

The NPI profile was previously updated about 5 years ago on Jan 29, 2021. 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 BASIC PHYSICAL MEDICINE below.

NPI Profile for
NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.

NPI Number
1245775360
Enumeration Date

(more than 9 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
NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.
Doing Business As (dba): BASIC PHYSICAL MEDICINE
Primary location
17264 RED HILL AVE
IRVINE, CA 92614-5628
Phone: (949) 650-1228 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VINOD MALHORTA
PRESIDENT
Phone: (949) 650-1228
Updated
Certification Date
Jan 29, 2021

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
2081P0004X
- Physical Medicine & Rehabilitation / Spinal Cord Injury Medicine (Primary)		 CA A31505

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.