Organization Active NPI

Covarrubias Rehab, Inc

  • Physical Medicine & Rehabilitation Physician
  • Fullerton, CA
National Provider Identifier
1417354069
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A119357 Issued in CA
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

Updated by the provider on May 13, 2016

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150408002192 CA Part B Supplier - Clinic/Group Practice 8123346806 Receives reassigned benefits from 2 practitioners
Practice locations: Brea, CA; Fullerton, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.