Individual provider Active NPI

Rudolph D Pina, SUD COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Porterville, CA
National Provider Identifier
1053221036
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A114961214 Issued in CA
Practice address
P.O. Box 768
Porterville, CA 93258-0768
Phone
(559) 784-2316
Fax
(559) 791-2533
NPI assigned
Sep 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A114961214 CA Primary

Addresses

Primary practice location

P.O. Box 768
Porterville, CA 93258-0768

Mailing address

380 N. Reservation Rd
Porterville, CA 93257-9673
Phone (559) 784-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1053221036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N. RESERVATION RD",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579673",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P.O. BOX 768",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932580768",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA",
        "first_name": "RUDOLPH",
        "middle_name": "D",
        "credential": "SUD COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A114961214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.