Active NPI
Myrian Sandoval-Rubio
- Rehabilitation Practitioner
- Pacoima, CA
National Provider Identifier
1114223492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 12510 Van Nuys Blvd
209
Pacoima, CA 91331-1338 - Phone
- (818) 896-2255
- Fax
- (818) 897-1766
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
12510 Van Nuys Blvd
209
Pacoima, CA 91331-1338
Mailing address
12510 Van Nuys Blvd
209
Pacoima, CA 91331-1338
Phone (818) 896-2255
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1114223492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD",
"address_2": "209",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913311338",
"telephone_number": "818-896-2255",
"fax_number": "818-897-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD",
"address_2": "209",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913311338",
"telephone_number": "818-896-2255",
"fax_number": "818-897-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL-RUBIO",
"first_name": "MYRIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.