SOUTHERN CALIFORNIA SPORTS REHABILITATION, INC. (NPI# 1568548279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568548279 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA SPORTS REHABILITATION, INC. |
| Practice Address |
1809 E Dyer Rd Suite 313 Santa Ana CA 92705-5740 |
| Mailing Address |
1809 E Dyer Rd Suite 311 Santa Ana CA 92705-5740 |
| Practice Telephone | 9499751900 |
| Practice Fax Number | 9499750070 |
| Mailing Telephone | 9498630022 |
| Mailing Fax Number | 9498630023 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | MR. MICHAEL WEINSTEIN (PRESIDENT) |
| Authorized Official Telephone | 9499751900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1809 E DYER RD SUITE 313 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659566917 | B Ted Field Md Inc | Specialist | 1809 E Dyer Rd, Suite 311, Santa Ana, CA 92705-5740 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237901 | Integrated Pt & Wellness | Clinic/Center | 1100 N Tustin Ave Ste H, Santa Ana, CA 92705-3509 | 2020-08-31 |
| 1124304001 | Sarton Physical Therapy, Inc. | Clinic/Center | 400 N Tustin Ave Suite 380, Santa Ana, CA 92705 | 2011-10-24 |
| 1659570968 | Core Medical Management, Inc | Clinic/Center | 1120 W Warner Ave Ste B, Santa Ana, CA 92707-3179 | 2007-07-16 |
| 1093931883 | C and A Health Services | Clinic/Center | 515 N. Carbrillo Drive, #100, Santa Ana, CA 92701 | 2007-04-18 |
| 1659457364 | Southern California Sports Rehab Inc | Clinic/Center | 2428 Grand Avenue, Suite E, Santa Ana, CA 92705 | 2006-10-27 |
| 1003891227 | Balanced Health Inc | Clinic/Center | 1820 E 16th St, Santa Ana, CA 92701-3112 | 2005-12-09 |
| 1457675662 | Pt Plus Rehab, Inc | Clinic/Center | 515 Cabrillo Park Dr, Suite 100, Santa Ana, CA 92701-5016 | 2010-03-16 |
| 1740517242 | Orange County Geriatric Physical Therapy | Clinic/Center | 1532 Rainbow Dr, Santa Ana, CA 92705-3430 | 2009-11-05 |
| 1639302136 | Executive Hand Therapy, Inc. | Clinic/Center | 400 N Tustin Ave, Suite 401, Santa Ana, CA 92705-3813 | 2009-08-31 |
| 1306039672 | Benjamin Medical Clinic | Clinic/Center | 1450 E 17th St, Santa Ana, CA 92705-8510 | 2007-08-21 |
| Find all providers in SANTA ANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.