Individual provider Active NPI

Rachel Rebecca Buivids, M.S.P.T.

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1003136482
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35568 Issued in CA
Practice address
17272 Newhope St
Fountain Valley, CA 92708-4210
Phone
(714) 754-7268
Fax
(714) 434-7042
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35568 CA Primary

Addresses

Primary practice location

17272 Newhope St
Fountain Valley, CA 92708-4210

Mailing address

PO Box 8125
Fountain Valley, CA 92728-8125
Phone (714) 754-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604000249 CA Practitioner - Physical Therapist in Private Practice 7214150697 Reassigns benefits to 1 organization
Practice locations: Fullerton, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Rehab Associates, IncGroup PAC ID 3274422951, 5 clinicians

Practice addresses (Care Compare)

4343 Market St B
Riverside, CA 92501-3567
Phone (951) 274-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35568CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Rehab Associates Inc Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients

Locations

3908 10th St
Riverside, CA 92501
Phone (909) 274-7744

4343 Market St
Ste B
Riverside, CA 92501
Phone (909) 233-7823

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1003136482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288125",
            "telephone_number": "714-754-7268",
            "fax_number": "714-434-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 NEWHOPE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084210",
            "telephone_number": "714-754-7268",
            "fax_number": "714-434-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUIVIDS",
        "first_name": "RACHEL",
        "middle_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.