Individual provider Active NPI

Samantha Rubalcava

  • Marriage & Family Therapist
  • Norco, CA
National Provider Identifier
1891487294
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158266 Issued in CA
Practice address
2711 Temescal Ave
Norco, CA 92860-2392
Phone
(916) 234-3367
NPI assigned
May 23, 2023
Reactivated
Nov 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 158266 CA Primary

Addresses

Primary practice location

2711 Temescal Ave
Norco, CA 92860-2392

Mailing address

702 Big Dalton Ave
La Puente, CA 91746-1917
Phone (626) 607-7406

Other practice location 1

1010 W Citron St
Corona, CA 92882-4051
Phone (916) 234-3367

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
158266CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Together CurrentSince Nov 18, 2025 Accepting new patients
Wellness Together CurrentSince Nov 18, 2025 Accepting new patients

Locations

1382 Blue Oaks Blvd
Ste 213
Roseville, CA 95678
Phone (877) 412-8031

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1891487294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BIG DALTON AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461917",
            "telephone_number": "626-607-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 TEMESCAL AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602392",
            "telephone_number": "916-234-3367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W Citron St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928824051",
            "country_code": "US",
            "telephone_number": "916-234-3367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBALCAVA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "deactivation_date": "2025-10-20",
        "reactivation_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.