Active NPI
Laura Rubin Imthurn, LCSW
- Social Worker
- San Diego, CA
National Provider Identifier
1780974360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS13975
- Practice address
- 10990 San Diego Mission Rd
San Diego, CA 92108 - Phone
- (619) 641-4456
- NPI assigned
- Apr 15, 2011
- Last updated
- Apr 15, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS13975 | CA | Primary |
Addresses
Primary practice location
10990 San Diego Mission Rd
San Diego, CA 92108
Mailing address
10990 San Diego Mission Rd
San Diego, CA 92108
Phone (619) 641-4456
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS13975 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1780974360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10990 SAN DIEGO MISSION RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-641-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10990 SAN DIEGO MISSION RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-641-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMTHURN",
"first_name": "LAURA",
"middle_name": "RUBIN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS13975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Imperial Valley Optometric Corporation (Sunglass and Optical Warehouse)
- Imperial Valley Optometric Corporation (Scripps Poway Eyecare & Optometry)
- Imperial Valley Optometric Corporation (Newport Avenue Optometry)
- Kristen Nicole Imperial, MS OTR
- Tamara Monet Imperial, AMFT
- In Due Time Psychological Services, Inc
- In Stepps, Inc
- Emily In, MD
- Inadvance Medicine Associates West, P.C. (Passport Health)
- Inadvance Medicine Associates West, P.C. (Passport Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.