Active NPI
Rebecca Denise Trevino
- Addiction (Substance Use Disorder) Counselor
- Long Beach, CA
National Provider Identifier
1669665816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 630 Junipero Ave
Long Beach, CA 90814-3731 - Phone
- (562) 987-5742
- Fax
- (562) 438-6891
- NPI assigned
- Aug 21, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
630 Junipero Ave
Long Beach, CA 90814-3731
Mailing address
630 Junipero Ave
Long Beach, CA 90814-3731
Phone (562) 987-5742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190077AHN | Medicaid | CA |
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": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1669665816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 JUNIPERO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908143731",
"telephone_number": "562-987-5742",
"fax_number": "562-438-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 JUNIPERO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908143731",
"telephone_number": "562-987-5742",
"fax_number": "562-438-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "REBECCA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190077AHN",
"state": "CA"
}
],
"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 Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.