Active NPI
Kamsey Shawna Cubarrubias
- Family Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 291080
- Practice address
- 200 Oceangate Ste 100
Long Beach, CA 90802-4317 - Phone
- (480) 952-4658
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1571253 | ID | |
| Family Nurse Practitioner | 363LF0000X | 291080 | AZ | Primary |
Addresses
Primary practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (480) 952-4658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA, MI, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1571253 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients |
Locations
5055 E Washington St
Ste 210
Phoenix, AZ 85034
Phone (800) 424-5891
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
Interoperability endpoints
- kcubarrubias15049@direct-prd.molinahealthcare.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1639858764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "480-952-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "480-952-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBARRUBIAS",
"first_name": "KAMSEY",
"middle_name": "SHAWNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "1571253",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "291080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.