Active NPI
Rina Ela San Buenaventura, PSY.D.
- Psychologist
- Coalinga, CA
National Provider Identifier
1316228372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 24511 W Jayne Ave
Coalinga, CA 93210-9503 - Phone
- (559) 935-4300
- NPI assigned
- Sep 6, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
24511 W Jayne Ave
Coalinga, CA 93210-9503
Mailing address
24511 W Jayne Ave (P.O. Box 5000)
Coalinga, CA 93210-5000
Phone (559) 935-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124078704 | Medicaid | CA |
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": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1316228372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE (P.O. BOX 5000)",
"city": "COALINGA",
"state": "CA",
"postal_code": "932105000",
"telephone_number": "559-935-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE",
"city": "COALINGA",
"state": "CA",
"postal_code": "932109503",
"telephone_number": "559-935-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN BUENAVENTURA",
"first_name": "RINA",
"middle_name": "ELA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124078704",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.