Individual provider Active NPI

Cecilia M De Rubira, MFTI

  • Marriage & Family Therapist
  • Richmond, CA
National Provider Identifier
1689708182
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
60148 Issued in CA
Practice address
200 24TH St
Richmond, CA 94804-1804
Phone
(510) 412-9243
Fax
(510) 412-9248
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 60148 CA Primary

Addresses

Primary practice location

200 24TH St
Richmond, CA 94804-1804

Mailing address

1366 Oakland Blvd
Apartment # 10
Walnut Creek, CA 94596-4343
Phone (925) 899-1696

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

Practice roles

OrganizationSpecialtyStatusNew patients
Early Childhood Mental Health Program 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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1689708182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 OAKLAND BLVD",
            "address_2": "APARTMENT # 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964343",
            "telephone_number": "925-899-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 24TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041804",
            "telephone_number": "510-412-9243",
            "fax_number": "510-412-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE RUBIRA",
        "first_name": "CECILIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "60148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.