Individual provider Active NPI

Jonathan Abraham Ubiera

  • Student in an Organized Health Care Education/Training Program
  • Beverly Hills, CA
National Provider Identifier
1174459168
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 90210-4236
Phone
(347) 451-3610
NPI assigned
Jun 18, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 90210-4236

Mailing address

12360 Riverside Dr Apt 244
Valley Village, CA 91607-3659
Phone (347) 451-3610

Other practice location 1

12360 Riverside Dr Apt 244
Valley Village, CA 91607-3659
Phone (347) 451-3610

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": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1174459168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 RIVERSIDE DR APT 244",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073659",
            "telephone_number": "347-451-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 SANTA MONICA BLVD STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104236",
            "telephone_number": "347-451-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12360 Riverside Dr Apt 244",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916073659",
            "country_code": "US",
            "telephone_number": "347-451-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBIERA",
        "first_name": "JONATHAN",
        "middle_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.