Active NPI
Sonia Alexa Rubillo
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1902424740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 11770 Bernardo Plaza CT Ste 116
San Diego, CA 92128-2423 - Phone
- (858) 251-0720
- NPI assigned
- Jul 8, 2020
- Last updated
- Jul 22, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | CA | Primary |
Addresses
Primary practice location
11770 Bernardo Plaza CT Ste 116
San Diego, CA 92128-2423
Mailing address
818 F Ave
Coronado, CA 92118-2518
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triton Support Services, LLC. | Current | Accepting new patients |
Locations
11770 Bernardo Plaza Ct
Ste 116
San Diego, CA 92128
Phone (760) 483-4325
Organizations & group practices 1
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.
-
dba Triton Support Services
- Speech-Language Pathologist
- San Diego, CA
- NPI 1689299455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1902424740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 F AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921182518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 BERNARDO PLAZA CT STE 116",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282423",
"telephone_number": "858-251-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBILLO",
"first_name": "SONIA",
"middle_name": "ALEXA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.