Active NPI
Ryan Rebueno
- Counselor
- Anaheim, CA
National Provider Identifier
1609392166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2531 W Woodland Dr
Anaheim, CA 92801-2637 - Phone
- (714) 833-2962
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | Primary |
Addresses
Primary practice location
2531 W Woodland Dr
Anaheim, CA 92801-2637
Mailing address
18955 Trucke Way
Walnut, CA 91789-4522
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1609392166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18955 TRUCKE WAY",
"city": "WALNUT",
"state": "CA",
"postal_code": "917894522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 W WOODLAND DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012637",
"telephone_number": "714-833-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBUENO",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-16",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.