Maeledah Rubalcava, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

90857 Issued in CA

Practice address

1205 Renaissance Pkwy Ste 240
Rialto, CA 92376-2418

Phone

(909) 746-5000

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meli Rubalcava Other name

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1831716570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17840 RIMHURST CT",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071200",
            "telephone_number": "909-631-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RENAISSANCE PKWY STE 240",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762418",
            "telephone_number": "909-746-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBALCAVA",
        "first_name": "MAELEDAH",
        "name_prefix": "Miss",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "90857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90857",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELI",
            "last_name": "RUBALCAVA",
            "credential": "RDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Ann Rose
• Terry D Roseborough
• Monica Rossow, AMFT
• Cheath Rougn
• Keysha Royster
• Mary Rubalcava
• Esmeralda Castillo Rubi, FNP-C
• Adrian Jesus Ruiz
• John R Ruiz, RN, BSN, PHN
• Karla Dennys Ruiz

• Dental Assistant in Rialto, CA
• Providers in Rialto, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.