Guilllermo Jose Covarrubias, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT6108 Issued in CA

Practice address

3851 S Soto St
Vernon, CA 90058-1718

Phone

(323) 585-7162

Fax

(323) 282-4002

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811905029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15222 SHADYBEND DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917452167",
            "telephone_number": "562-686-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 S SOTO ST",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900581718",
            "telephone_number": "323-585-7162",
            "fax_number": "323-282-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "GUILLLERMO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT6108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connett Brewer, PA-C
• Carewell Medical Center, Inc.
• Central Occupational Medicine Providers - Ontario, a Medical Corporati
• Michael Chung Hou Chiang, M.D.
• City of Vernon
• Sean Cutrell, DPT
• Calvin Travon Davis, PHYSICIAN ASSISTANT
• Everytable, PBC
• Ian Fitz-Gibbon
• Steven Florman, MD

• Physical Therapy Assistant in Vernon, CA
• Providers in Vernon, 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 Jul 8, 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.

Verify at the official NPI Registry.