Skip to content
NPISignal

Individual Healthcare Provider

Bladimir A Polio

NPI Record: ActiveRehabilitation Practitioner
NPI1104292663
Gardena, California

Provider's NPPES record last updated: August 15, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1104292663
Primary Specialty
Rehabilitation Practitioner
Practice Location
Gardena, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 3:37 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Rehabilitation Practitioner

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

    Taxonomy code 225400000X
  • Behavior Technician

    Behavioral Health & Social Service Providers

    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

    Taxonomy code 106S00000X
  • Case Manager/Care Coordinator

    Other Service Providers

    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

    Taxonomy code 171M00000X

Practice Locations

Practice Location

108 W Victoria St

Gardena, California 90248-3523

Phone: (310) 715-2020

Additional Practice Location

10929 South St Ste 208b

Cerritos, California 90703-5368

Phone: (562) 924-5526

Additional Practice Location

10929 South St Ste 208b

Cerritos, California 90703-5368

Phone: (562) 924-5526

Fax: (562) 974-1040

Additional Practice Location

10929 South St Ste 208b

Cerritos, California 90703-5368

Phone: (562) 924-5526

Fax: (562) 974-1040

Additional Practice Location

2640 Industry Way

Lynwood, California 90262-4284

Phone: (310) 627-4525

Fax: (323) 234-4477

Additional Practice Location

5849 Crocker St Unit L

Los Angeles, California 90003

Phone: (323) 234-4445

Fax: (323) 234-4477

Additional Practice Location

16500 Ventura Blvd Ste 414

Encino, California 91436-5050

Phone: (818) 616-5022

Additional Practice Location

10929 South St Ste 208b

Cerritos, California 90703-5368

Phone: (562) 924-5526

Record Information

Enumeration Date
August 18, 2015
Provider's NPPES Record Last Updated
August 15, 2023
Certification Date
August 15, 2023
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue