Organization Active NPI

Sophies Fertility and Wellness, Inc.

Doing business as Sophia Bubrick, OTR/L

  • Occupational Therapist
  • Lake Balboa, CA
National Provider Identifier
1225655038
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SOPHIES FERTILITY AND WELLNESS, INC.
Doing business as
Sophia Bubrick, OTR/L
Practice address
17330 Hamlin St
Lake Balboa, CA 91406-5418
Phone
(310) 975-9130
NPI assigned
Jun 26, 2020
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Sophia BubrickNPI 1285174417
Title
Occupational Therapist
Phone
(310) 975-9130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

17330 Hamlin St
Lake Balboa, CA 91406-5418

Mailing address

17330 Hamlin St
Lake Balboa, CA 91406-5418
Phone (310) 975-9130

Other names 1

  • Sophia Bubrick, OTR/L Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1225655038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 HAMLIN ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914065418",
            "telephone_number": "310-975-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 HAMLIN ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914065418",
            "telephone_number": "310-975-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIES FERTILITY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "BUBRICK",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "310-975-9130"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sophia Bubrick, OTR/L",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Balboa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.