Individual provider Active NPI

Dennis Malate Redubla

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1053633206
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004480 Issued in CA
Practice address
2131 Herndon Ave Ste 103
Clovis, CA 93611-6304
Phone
(559) 578-8844
Fax
(559) 578-8899
NPI assigned
Feb 15, 2010
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004480 CA Primary

Addresses

Primary practice location

2131 Herndon Ave Ste 103
Clovis, CA 93611-6304

Mailing address

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone (559) 499-1233

Other practice location 1

3985 N Fresno St Ste 102
Fresno, CA 93726-4000
Phone (559) 500-0203

Other names 1

  • Dennis Malate Redubla Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001991 CA Practitioner - Nurse Practitioner 7719271105 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians
Express Care Medical Group a Professional CorporationGroup PAC ID 7315389376, 6 clinicians
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians

Practice addresses (Care Compare)

1007 W Lacey Blvd
Hanford, CA 93230-4331
Phone (559) 582-2871

2131 Herndon Ave
Suite 103
Clovis, CA 93611-6304
Phone (559) 578-8844

3034 E Herndon Ave
Fresno, CA 93720-0300
Phone (559) 321-0883

568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989
Phone (559) 228-9660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004480CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc CurrentSince Dec 1, 2024 Accepting new patients
Five Rivers Health Care Center Inc CurrentSince May 10, 2026 Accepting new patients
Express Care Medical Group, a Professional Corporation CurrentSince Apr 1, 2024 Accepting new patients
Altea Medical California PC CurrentSince Nov 12, 2025 Accepting new patients
The Nephrology Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Sierra Medicine, Inc. CurrentSince May 22, 2023 Accepting new patients
Omar Osman MD PC CurrentSince Dec 1, 2024 Accepting new patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Jul 1, 2016 Accepting new patients
Senior Care Medical Providers Inc PastSince Jul 28, 2025 Accepting new patients
Doe Medical Inc PastSince May 1, 2015 Accepting new patients

Locations (25 of 40)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

3900 Garfield Ave
Carmichael, CA 95608
Phone (916) 481-6455

2131 Herndon Ave
Ste 103
Clovis, CA 93611
Phone (559) 483-9911

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

1730 S College Ave
Dinuba, CA 93618
Phone (559) 590-3300

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883

3985 N Fresno St
Ste 102
Fresno, CA 93726
Phone (559) 481-8484

5100 N 6th St
Ste 157
Fresno, CA 93710
Phone (559) 293-3155

568 E Herndon Ave
Ste 104
Fresno, CA 93720

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

1007 W Lacey Blvd
Hanford, CA 93230
Phone (559) 582-2871

1101 Stroud Ave
Kingsburg, CA 93631
Phone (559) 341-5755

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

1011 W Tulare Rd
Lindsay, CA 93247
Phone (559) 562-0055

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

7120 Corbin Ave
Reseda, CA 91335
Phone (818) 458-5597

Organizations & group practices 11

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1053633206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116304",
            "telephone_number": "559-578-8844",
            "fax_number": "559-578-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3985 N Fresno St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264000",
            "country_code": "US",
            "telephone_number": "559-500-0203",
            "fax_number": "559-500-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDUBLA",
        "first_name": "DENNIS",
        "middle_name": "MALATE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "REDUBLA",
            "middle_name": "MALATE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.