Active NPI
Rebecca Kornbluth
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1760747265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 78133
- Practice address
- 5870 Arlington Ave
Riverside, CA 92504-2037 - Phone
- (951) 683-6596
- NPI assigned
- Jul 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 78133 | CA | Primary |
Addresses
Primary practice location
5870 Arlington Ave
Riverside, CA 92504-2037
Mailing address
4440 University Ave
Riverside, CA 92501-3199
Phone (866) 218-4697
Other practice location 1
160 E Holt Ave Ste B
Pomona, CA 91767-5407
Phone (909) 620-2521
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 78133 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1760747265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 UNIVERSITY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013199",
"telephone_number": "866-218-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042037",
"telephone_number": "951-683-6596"
}
],
"practiceLocations": [
{
"address_1": "160 E Holt Ave Ste B",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917675407",
"country_code": "US",
"telephone_number": "909-620-2521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORNBLUTH",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 78133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.