OrganizationActive
Pristine Rehab Care
NPI 1093046286 · Early Intervention Provider Agency · Diamond Bar, CA
Provider details
- NPI number
- 1093046286
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kishore Kantamaneni, President(909) 396-8900
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059
Phone: (909) 396-8900
Fax: (909) 396-9900
Street-level locationGet directions
Mailing address
706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059
Registry dates
- Enumerated
- 2010-01-27
- Last updated
- 2010-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.