BALLARD REHABILITATION HOSPITAL
NPI 1497748081
Rehabilitation Hospital in San Bernardino, CA
NPI Status: Active since August 29, 2005
Contact Information
1760 W 16TH ST
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 473-1200
Fax: (909) 473-1276
- Organization
- Rehabilitation Hospital
- CLIA Number: 05D0873272
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-31-2025
About BALLARD REHABILITATION HOSPITAL
This page provides the complete NPI Profile along with additional information for Ballard Rehabilitation Hospital, a provider established in San Bernardino, California operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1497748081 assigned on August 2005. The practitioner's primary taxonomy code is 283X00000X with license number 240000502 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ballard Rehabilitation Hospital. The authorized official of this NPI record is Mr. Brad Eugene Hollinger (President)
- NPI
- 1497748081
- Provider Legal Name
- VIBRA HOSPITAL OF SAN BERNARDINO, LLC
- Other Organization Name
- BALLARD REHABILITATION HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1760 W 16TH ST SAN BERNARDINO, CA 92411
- Location Phone
- (909) 473-1200
- Location Fax
- (909) 473-1276
- Mailing Address
- PO BOX 26657 FRESNO, CA 93729
- Mailing Phone
- (559) 892-2500
- Mailing Fax
- (909) 473-1276
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2005
- Last Update Date
- 10-10-2023
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 07-27-1993 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Hospital
- Taxonomy Code
- 283X00000X
- Type
- Hospitals
- License No.
- 240000502
- License State
- CA
- Taxonomy Description
- A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497748081 | MEDICAID (05) | CA | |
| 120321000 | OTHER (01) | DEPT OF LABOR | |
| ZZZH3608Z | OTHER (01) | BLUE SHIELD |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- BALLARD REHABILITATION HOSPITAL has an ownership type of Non-profit
- The facility received it's medicare certification date on 07-27-1993
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 86 |
| Brain disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain injury (traumatic) | 21 |
| Hip or femur fracture | 35 |
| Hip or knee replacement, amputation or other bone or joint condition | 61 |
| Nervous system disorder (excluding stroke) | 22 |
| Spinal cord disease or condition (non-traumatic) | 12 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 115 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0873272
- Facility Type
- Hospital
- Certificate Effective Date
- October 23, 2021
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- MARYAM D. AMERI MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ballard Rehabilitation Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497748081, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAN BERNARDINO, CA 92411
SAN BERNARDINO, CA 92411
SAN BERNARDINO, CA 92411
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497748081, enumerated as an "organization" on August 29, 2005.
The provider is located at 1760 W 16TH ST SAN BERNARDINO, CA 92411 and the phone number is (909) 473-1200.
Rehabilitation Hospital with taxonomy code 283X00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
