Active NPI
Christine Gissele Rubio
- Speech-Language Pathologist
- Woodland, CA
National Provider Identifier
1134812563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18954
- Practice address
- 1321 College St Ste E
Woodland, CA 95695-4706 - Phone
- (530) 668-1010
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | 18954 | CA | Primary |
Addresses
Primary practice location
1321 College St Ste E
Woodland, CA 95695-4706
Mailing address
7737 College Town Dr Apt 28
Sacramento, CA 95826-2318
Phone (323) 629-6124
Other practice location 1
11344 Coloma Rd Ste 570
Gold River, CA 95670-6304
Phone (916) 676-0488
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18954 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1134812563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 COLLEGE TOWN DR APT 28",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262318",
"telephone_number": "323-629-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLLEGE ST STE E",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954706",
"telephone_number": "530-668-1010"
}
],
"practiceLocations": [
{
"address_1": "11344 Coloma Rd Ste 570",
"address_purpose": "LOCATION",
"city": "Gold River",
"state": "CA",
"postal_code": "956706304",
"country_code": "US",
"telephone_number": "916-676-0488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBIO",
"first_name": "CHRISTINE",
"middle_name": "GISSELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.