Individual provider Active NPI

Jazmin Rubio, ASW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1114787892
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5000 Birch St Ste 3000
Newport Beach, CA 92660-2140
Phone
(877) 421-1711
Fax
(949) 576-3913
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

5000 Birch St Ste 3000
Newport Beach, CA 92660-2140

Mailing address

201 S Anita Dr Ste 203
Orange, CA 92868-3312

Other practice location 1

201 S Anita Dr Ste 203
Orange, CA 92868-3312
Phone (714) 867-8641

Other practice location 2

765 N Main St Ste 131-C4
Corona, CA 92878-1440
Phone (877) 421-1711

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1114787892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ANITA DR STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BIRCH ST STE 3000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602140",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Anita Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683312",
            "country_code": "US",
            "telephone_number": "714-867-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 N Main St Ste 131-C4",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928781440",
            "country_code": "US",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "JAZMIN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.