Cristina Covarrubias

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

50886 Issued in CA

Practice address

12261 Pentagon St
Garden Grove, CA 92841-3325

Phone

(714) 795-9987

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1740865138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 PENTAGON ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413325",
            "telephone_number": "714-795-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12261 PENTAGON ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413325",
            "telephone_number": "714-795-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50886",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "50886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Craig Douglas Costello
• County of Orange
• McKenzie Mae Cousins
• Carlos Isaiah Covarrubias
• Kimberly Covarrubias, SUDRC
• Zakiah J Cowan
• Sederick Cowart, RBT-24-388409
• Michael Craig Cowick, CADC-CAS
• Kelsea C Cox-Bain

• Physical Therapy Assistant in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.