Navi Isabel Covarrubias, CMT

Key facts

NPI

1104514256

Entity type

Individual (NPI type 1)

Primary specialty

Massage Therapist 225700000X

License

89430 (CA)

Practice address

515 W Ramsey St
Banning, CA 92220-4813

Phone

(909) 745-8376

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2023.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1104514256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 WALNUT ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102436",
            "telephone_number": "909-745-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204813",
            "telephone_number": "909-745-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "NAVI",
        "middle_name": "ISABEL",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "89430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

• County of Riverside
• County of Riverside
• County of Riverside
• County of Riverside- Community Health Agency
• County of Riverside-Community Health Agency
• Robert Creek, M.D.
• Jasmine Creighton
• Leidi Lucinda Cruz Ocana
• Sarah Paige Cruz, OTR/L
• Cummings Care Management, Inc.

All providers in Banning, CA · Massage Therapist in California