Active NPI
Geraldine Tubon
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1194905430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34065
- Practice address
- 1901 College Ave
Santa Ana, CA 92706-2334 - Phone
- (714) 564-7800
- NPI assigned
- Nov 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34065 | CA | Primary |
Addresses
Primary practice location
1901 College Ave
Santa Ana, CA 92706-2334
Mailing address
16327 Mount Baden Powell St
Fountain Valley, CA 92708-2122
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 |
|---|---|---|---|
| 34065 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1194905430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16327 MOUNT BADEN POWELL ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927082122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 COLLEGE AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062334",
"telephone_number": "714-564-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBON",
"first_name": "GERALDINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-03",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.