Active NPI
Jossue Rubio
- Rehabilitation Practitioner
- Covina, CA
National Provider Identifier
1063966844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 508 S 2ND Ave
Covina, CA 91723-3012 - Phone
- (626) 974-8123
- Fax
- (626) 874-8198
- NPI assigned
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
508 S 2ND Ave
Covina, CA 91723-3012
Mailing address
508 S 2ND Ave
Covina, CA 91723-3012
Phone (626) 332-7788
Other practice location 1
23701 E East Fork Rd
Azusa, CA 91702-1477
Phone (626) 250-3300 ext. 235
Other practice location 2
1520 N Raymond Ave
Pasadena, CA 91103-1819
Phone (626) 396-5920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Social Model Recovery Systems, Inc. | Past | Accepting new patients | |
| Pasadena Unified School District | Past | Accepting new patients | |
| Social Model Recovery Systems, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jossuerubio-socialmodel@lacsapc.netsmartdirect.net
Organizations & group practices 4
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Local Education Agency (LEA)
- Pasadena, CA
- NPI 1093839607
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1497834089
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1508994369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1063966844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233012",
"telephone_number": "626-332-7788",
"fax_number": "626-974-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233012",
"telephone_number": "626-974-8123",
"fax_number": "626-874-8198"
}
],
"practiceLocations": [
{
"address_1": "23701 E East Fork Rd",
"address_purpose": "LOCATION",
"city": "Azusa",
"state": "CA",
"postal_code": "917021477",
"country_code": "US",
"telephone_number": "626-250-3300 x235",
"fax_number": "626-910-1380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 N Raymond Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911031819",
"country_code": "US",
"telephone_number": "626-396-5920",
"fax_number": "626-791-6251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBIO",
"first_name": "JOSSUE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-09",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.