Individual provider Active NPI

Karla Marlene Rubio-Ayala, LVN

  • Licensed Vocational Nurse
  • Calexico, CA
National Provider Identifier
1609353572
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
697628 Issued in CA
Practice address
535 Cesar Chavez Blvd
Calexico, CA 92231-2103
Phone
(760) 357-6566
Fax
(760) 357-0849
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 697628 CA Primary

Addresses

Primary practice location

535 Cesar Chavez Blvd
Calexico, CA 92231-2103

Mailing address

535 Cesar Chavez Blvd
Calexico, CA 92231-2103
Phone (760) 357-6566

Other practice location 1

200 S 5th St
El Centro, CA 92243-3013
Phone (760) 482-0864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
697628CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Treatment Center Past Accepting new patients

Organizations & group practices 1

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1609353572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CESAR CHAVEZ BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312103",
            "telephone_number": "760-357-6566",
            "fax_number": "760-357-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CESAR CHAVEZ BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312103",
            "telephone_number": "760-357-6566",
            "fax_number": "760-357-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 5th St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433013",
            "country_code": "US",
            "telephone_number": "760-482-0864",
            "fax_number": "760-482-9185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO-AYALA",
        "first_name": "KARLA",
        "middle_name": "MARLENE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "697628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.