Individual provider Active NPI

Brian Jesus Rubio

  • Physical Therapist
  • Oxnard, CA
National Provider Identifier
1356051999
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303244 Issued in CA
Practice address
2051 Statham Blvd
Oxnard, CA 93033-3901
Phone
(805) 250-3375
NPI assigned
Dec 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303244 CA Primary

Addresses

Primary practice location

2051 Statham Blvd
Oxnard, CA 93033-3901

Mailing address

822 W Juniper St
Oxnard, CA 93033-3333
Phone (805) 844-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215001924 CA Practitioner - Physical Therapist in Private Practice 6204205172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians

Practice addresses (Care Compare)

721 W Channel Islands Blvd
Port Hueneme, CA 93041-2130
Phone (805) 250-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Nov 6, 2022 Accepting new patients
Second Wave Physical Therapy Inc. Physical Therapist CurrentSince Mar 23, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Nov 6, 2022 Accepting new patients

Locations

231 Camarillo Ranch Rd
Ste B
Camarillo, CA 93012
Phone (805) 484-2026

552 Sespe Ave
Fillmore, CA 93015
Phone (805) 242-4575

2367 N Oxnard Blvd
Oxnard, CA 93036
Phone (805) 250-7505

2051 Statham Blvd
Oxnard, CA 93033
Phone (805) 250-3375

735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

721 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

801 S Victoria Ave
Ventura, CA 93003
Phone (805) 250-7505

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1356051999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W JUNIPER ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333333",
            "telephone_number": "805-844-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 STATHAM BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333901",
            "telephone_number": "805-250-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "BRIAN",
        "middle_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.