Individual provider Active NPI

Sonia Alexa Rubillo

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1902424740
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Triton Support Services, LLC. CurrentSince Jul 12, 2020 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.

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.

Verify at the official NPI Registry.