Individual provider Active NPI

Christina Kathleen Rubio Holtz

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1417995804
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A89615 Issued in CA
Practice address
5925 San Vicente Blvd
Los Angeles, CA 90019-6630
Phone
(323) 932-5105
Fax
(323) 932-5356
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A89615 CA Primary

Addresses

Primary practice location

5925 San Vicente Blvd
Los Angeles, CA 90019-6630

Mailing address

PO Box 661748
Arcadia, CA 91066-1748
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A896150MedicaidCA

Other names 1

  • Dr. Christina Kathleen Rubio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000566 CA Practitioner - Emergency Medicine 4587601349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.64 of 100Reported as group
Quality
80.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Emergency Medical Associates Emergency Medicine CurrentSince May 4, 2006 Accepting new patients
Pacifica Emergency Medical Associates Emergency Medicine PastSince Nov 15, 2020 Accepting new patients

Locations

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

Organizations & group practices 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1417995804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661748",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661748",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196630",
            "telephone_number": "323-932-5105",
            "fax_number": "323-932-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO HOLTZ",
        "first_name": "CHRISTINA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A89615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A896150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "RUBIO",
            "middle_name": "KATHLEEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.