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CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC NPI 1518980515


NPI Information

NPI: 1518980515
Provider Name: CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
430 40TH STREET
1ST FLOOR
OAKLAND, CA
ZIP 94609
Phone: (510) 653-9834
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CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC is a prosthetic orthotic supplier in Oakland, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC NPI is 1518980515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

430 40TH STREET
1ST FLOOR
OAKLAND, CA
ZIP 94609-522
Phone: (510) 653-9834
Fax: (510) 653-9037

The provider's authorized official is Eddie G Rogers .
The authorized official title is President and has the following contact phone number (209) 845-8231.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225000000XOrthotic FitterNo
2335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GXC000860MEDICAIDCALIFORNIA
20246970003MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.