Active NPI
Samantha Rubalcava
- Marriage & Family Therapist
- Norco, CA
National Provider Identifier
1891487294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 158266
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 158266 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Together | Current | Accepting new patients | |
| Wellness Together | Current | 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.
-
- Mental Health Counselor
- Roseville, CA
- NPI 1154298818
-
- Mental Health Counselor
- Roseville, CA
- NPI 1457111080
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.