Active NPI
Rosa Maria Zubiate-Laurie
- Family Nurse Practitioner
- Covina, CA
National Provider Identifier
1619440237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95010630
- Practice address
- 203 W Badillo St
Covina, CA 91723-1907 - Phone
- (626) 732-8350
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95010630 | CA | Primary |
Addresses
Primary practice location
203 W Badillo St
Covina, CA 91723-1907
Mailing address
PO Box 4039
Orange, CA 92863-4039
Phone (626) 543-1096
Other practice location 1
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
Phone (626) 732-8391
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95010630 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Group | Past | Accepting new patients | |
| Emanate Health Medical Care Foundation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
-
- General Practice Physician
- Covina, CA
- NPI 1881054997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1619440237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4039",
"city": "ORANGE",
"state": "CA",
"postal_code": "928634039",
"telephone_number": "626-543-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231907",
"telephone_number": "626-732-8350"
}
],
"practiceLocations": [
{
"address_1": "1135 S Sunset Ave Ste 401",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917903921",
"country_code": "US",
"telephone_number": "626-732-8391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUBIATE-LAURIE",
"first_name": "ROSA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95010630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.