PERFORMANCE CARE SPORTS MEDICINE & REHABILITATION CENTER, INC.
NPI 1487880399
Internal Medicine in Toluca Lake, CA

Q: What is Performance Care Sports Medicine & Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 05, 2009

10738 RIVERSIDE DRIVE, SUITE A, TOLUCA LAKE, CA 91602(818) 766-4307(818) 766-4309 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Performance Care Sports Medicine & Rehabilitation Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE CARE SPORTS MEDICINE & REHABILITATION CENTER, INC. (NPI 1487880399) is a healthcare organization registered as an internal medicine in Toluca Lake, California and active in the NPI registry since June 2009. The organization lists Golan Nissim, Vp, as its authorized official.

NPPES Registry Identity

NPI1487880399

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePERFORMANCE CARE SPORTS MEDICINE & REHABILITATION CENTER, INC.

Location Address10738 RIVERSIDE DRIVE, SUITE AToluca Lake, CA 91602-2372

Mailing Address10738 Riverside Dr Ste AToluca Lake, CA 91602-2372 · (818) 766-4307 · Fax (818) 766-4309

Phone(818) 766-4307

Fax(818) 766-4309

Organization SubpartNo

Authorized OfficialGolan NissimVp · (818) 766-4307

Enumeration DateJune 5, 2009

Last NPPES UpdateNovember 20, 2014

✔ NPI 1487880399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A42627

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedChiropractorTaxonomy 111N00000X · License DC25362 (CA)

10738 RIVERSIDE DRIVE, SUITE A, Toluca Lake, CA 91602

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Performance Care Sports Medicine & Rehabilitation Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20181222000360DME · Physician - ChiropracticDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Performance Care Sports Medicine & Rehabilitation Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Golan Nissim, D.C., A.R.T., Q.M.E.

Chiropractic

NPI 1932270147

10738 RIVERSIDE DR STE A
Toluca Lake, CA 91602

(818) 766-4307

✔ Accepts MedicareSame address

Laura Wilson, DPT

Physical Therapist in Private Practice

NPI 1558537977

10738 RIVERSIDE DR STE A
Toluca Lake, CA 91602

(818) 766-4307

✔ Accepts MedicareSame address

Jeko Behfarin, MD

General Practice

NPI 1689686875

2120 W 8TH ST STE 200
Los Angeles, CA 90057

(213) 387-5400

✔ PECOS✔ Accepts Medicare8.3 mi

Zachary Ray, PT, SCS

Physical Therapist in Private Practice

NPI 1174853162

2488 TOWNSGATE RD STE C
Westlake Village, CA 91361

(805) 910-9913

27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performance Care Sports Medicine & Rehabilitation Center, Inc.'s NPI number?

The NPI number for Performance Care Sports Medicine & Rehabilitation Center, Inc. is 1487880399. It was assigned to this organization in the NPPES registry on June 5, 2009.

Where is Performance Care Sports Medicine & Rehabilitation Center, Inc. located?

Performance Care Sports Medicine & Rehabilitation Center, Inc. is located at 10738 Riverside Drive, Suite A, Toluca Lake, CA 91602. The listed phone number is (818) 766-4307.

What is Performance Care Sports Medicine & Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Performance Care Sports Medicine & Rehabilitation Center, Inc. enrolled in Medicare?

Yes. Performance Care Sports Medicine & Rehabilitation Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Performance Care Sports Medicine & Rehabilitation Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Chiropractic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Performance Care Sports Medicine & Rehabilitation Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Performance Care Sports Medicine & Rehabilitation Center, Inc., in Chiropractic, General Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Performance Care Sports Medicine & Rehabilitation Center, Inc. was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.