Active NPI
Covarrubias Rehab, Inc
- Physical Medicine & Rehabilitation Physician
- Fullerton, CA
National Provider Identifier
1417354069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A119357
- Legal business name
- COVARRUBIAS REHAB, INC
- Practice address
- 1820 N Sunnycrest Dr
#10816
Fullerton, CA 92838-6900 - Phone
- (949) 209-9945
- NPI assigned
- Nov 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalia Covarrubias
- Title
- President
- Phone
- (949) 510-0334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A119357 | CA | Primary |
Addresses
Primary practice location
1820 N Sunnycrest Dr
#10816
Fullerton, CA 92838-6900
Mailing address
1820 N Sunnycrest Dr
#10816
Fullerton, CA 92838-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1820 N Sunnycrest Dr
Unit 10816
Fullerton, CA 92838
Phone (949) 209-9945
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Brea, CA
- NPI 1528358033
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Rochester, MI
- NPI 1487915989
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463097600000",
"number": "1417354069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 N SUNNYCREST DR",
"address_2": "#10816",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928386900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 N SUNNYCREST DR",
"address_2": "#10816",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928386900",
"telephone_number": "949-209-9945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVARRUBIAS REHAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-25",
"last_updated": "2016-05-13",
"status": "A",
"authorized_official_last_name": "COVARRUBIAS",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-510-0334"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A119357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.