Individual provider Active NPI

Edlin Rubio

  • Nurse Practitioner
  • Napa, CA
National Provider Identifier
1891517116
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95032734 Issued in CA
Practice address
PO Box 843
Napa, CA 94559-0843
Phone
(805) 896-8086
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95032734 CA Primary

Addresses

Primary practice location

PO Box 843
Napa, CA 94559-0843

Mailing address

PO Box 843
Napa, CA 94559-0843
Phone (805) 896-8086

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250424003411 CA Practitioner - Nurse Practitioner 4183140957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Integrated Medicine PCGroup PAC ID 4789055278, 2 clinicians

Practice addresses (Care Compare)

575 Lincoln Ave
Suite 225
Napa, CA 94558-3664
Phone (707) 255-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032734CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Integrated Medicine PC Nurse Practitioner CurrentSince Feb 15, 2025 Accepting new patients
Eade Chiropractic, Inc. PastSince Feb 15, 2025 Accepting new patients

Locations

575 Lincoln Ave
Ste 225
Napa, CA 94558
Phone (707) 255-6888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1891517116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945590843",
            "telephone_number": "805-896-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945590843",
            "telephone_number": "805-896-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "EDLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.