Individual provider Active NPI

Freddy Covarrubias

  • Licensed Vocational Nurse
  • Oxnard, CA
National Provider Identifier
1831637248
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN687757 Issued in CA
Practice address
500 E Esplanade Dr Ste 660
Oxnard, CA 93036-0530
Phone
(805) 981-2883
Fax
(877) 306-6792
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
VN687757CAMDLicensed Vocational Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN687757 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

500 E Esplanade Dr Ste 660
Oxnard, CA 93036-0530

Mailing address

359 Tirre CT
Santa Paula, CA 93060-3407
Phone (805) 727-1355

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2017.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1831637248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 TIRRE CT",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603407",
            "telephone_number": "805-727-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR STE 660",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360530",
            "telephone_number": "805-981-2883",
            "fax_number": "877-306-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "FREDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN687757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.