TRI STAR MEDICAL GROUP & REHAB (NPI# 1578804696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578804696 |
| Entity Type | Organization |
| Organization Name | TRI STAR MEDICAL GROUP & REHAB |
| Other Organization Name | TRI STAR ORTHOPAEDICS |
| Practice Address |
164 W Hospitality Ln Ste. 16 San Bernardino CA 92408-3316 |
| Mailing Address |
7007 Washington Ave Ste. 240 Whittier CA 90602-1484 |
| Practice Telephone | 9098888588 |
| Practice Fax Number | 9098880689 |
| Mailing Telephone | 5626841888 |
| Mailing Fax Number | 5626841889 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | CHRISTOPHER ARMSTRONG (CFO) |
| Authorized Official Telephone | 5626841888 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
G47742 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TRI STAR ORTHOPAEDICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154662542 | Tri Star Medical Group & Rehab | Physical Medicine & Rehabilitation | 1440 E 1st St, Ste. #100, Santa Ana, CA 92701-6384 | 2013-03-08 |
| 1780924480 | Tri Star Medical Group & Rehab | Preventive Medicine | 7007 Washington Ave, Suite 240, Whittier, CA 90602-1484 | 2013-02-18 |
| Street Address |
164 W HOSPITALITY LN STE. 16 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093846198 | Augustine J Amerigo I | Chiropractor | 164 W Hospitality Ln, Ste 110, San Bernardino, CA 92408-3316 | 2007-03-08 |
| 1982016838 | Irving M. Feldkamp Dds | Dentist | 164 W Hospitality Ln, Suite 14, San Bernardino, CA 92408-3316 | 2014-05-27 |
| 1104187103 | Family Planning Associates Medical Group,inc. | Clinic/Center | 164 W Hospitality Ln, 1a, San Bernardino, CA 92408-3316 | 2012-06-06 |
| 1619119328 | Rachel L Steward | Obstetrics & Gynecology | 164 W Hospitality Ln, Suite 1a, San Bernardino, CA 92408-3316 | 2009-03-26 |
| 1356516322 | Edith Herrejon | Counselor | 164 W Hospitality Ln, Ste. 4, San Bernardino, CA 92408-3316 | 2008-04-29 |
| 1699943175 | Courtney Ann Wild | Case Manager/Care Coordinator | 164 W Hospitality Ln, Suite 1-a, San Bernardino, CA 92408-3316 | 2008-02-18 |
| 1902083553 | April Faith Valento | Counselor | 164 W Hospitality Ln, Suite 1a, San Bernardino, CA 92408-3316 | 2008-01-25 |
| 1629254354 | Jennifer Marlana Rohrman | Counselor | 164 W Hospitality Ln, San Bernardino, CA 92408-3316 | 2008-01-11 |
| 1780879791 | Ginger R Myren | Marriage & Family Therapist | 164 W Hospitality Ln, Suite 1-a, San Bernardino, CA 92408-3316 | 2007-09-12 |
| 1821291097 | Pui Yi Rachael Leung | Occupational Therapist | 164 W Hospitality Ln, Suite 3, San Bernardino, CA 92408-3316 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245636786 | Rudolph Multi Specialty Medical Group | Physical Medicine & Rehabilitation | 435 Orange Show Ln Ste 208, San Bernardino, CA 92408-2032 | 2014-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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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.