Victor Covarrubias, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95024768 Issued in CA

Practice address

21550 Oxnard St FL 3
Woodland Hills, CA 91367-7105

Phone

(818) 913-0090

Fax

(747) 888-5865

NPI assigned

Jul 23, 2019

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Ad Meliora Advanced Practice Nursing Corp

  dba A Beautiful Mind

  • Adult Mental Health Clinic/Center
  • Woodland Hills, CA
  • NPI 1245067701
  NPD Authorized official

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1447803986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21550 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677100",
            "telephone_number": "818-850-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 OXNARD ST FL 3",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677105",
            "telephone_number": "818-913-0090",
            "fax_number": "747-888-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 E Del Mar Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911074375",
            "country_code": "US",
            "telephone_number": "626-735-0991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21550 Oxnard St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677108",
            "country_code": "US",
            "telephone_number": "818-913-0090",
            "fax_number": "747-888-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "VICTOR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024768",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "95147346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O'Real Cotton, DPT
• Tracee Couch, LMFT
• Brittany Adams Countryman, CRNA
• Graciela Covarrubias Flores
• Francisco Covarrubias
• Cove Health
• Breana Christine Coville, PA-C
• Keisha Cox, RCP
• Shatierre Cox
• Nicole Melissa Cozzens

• Psychiatric/Mental Health Nurse Practitioner in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.