Rubeleta Medina, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95011111 Issued in CA

Practice address

9995 Carmel Mountain Rd Ste B10-11
San Diego, CA 92129-2889

Phone

(844) 200-2426

Fax

(858) 240-6470

NPI assigned

Mar 18, 2019

Reactivated

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Rubeleta Velando Sarmiento Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: rubeleta.medina@opsam.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Operation Samahan, Inc.

  dba Samahan Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1871680397
  Medicare reassignment
• Operation Samahan Inc

  dba Opsam Health

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1376358549
  NPD
• Operation Samahan, Inc

  dba Rancho Penasquitos Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1699216622
  NPD
• Operation Samahan, Inc.

  dba Opsam Health

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1194616268
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1881153963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE STE E1",
            "address_2": "UNIT 78",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 CARMEL MOUNTAIN RD STE B10-11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292889",
            "telephone_number": "844-200-2426",
            "fax_number": "858-240-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "RUBELETA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "deactivation_date": "2019-04-10",
        "reactivation_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011111",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "751801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBELETA",
            "last_name": "SARMIENTO",
            "middle_name": "VELANDO",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nelly Medina
• Priscilla Medina
• Rasharn Medina
• Rita K Medina
• Rosa Medina
• Stephanie Medina
• Vanessa Medina
• Vanessa K Medina
• Veronica Oralia Medina
• Victor Medina, M.A. O.T.R

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.