Individual provider Active NPI

Stephen Akena Larubi

  • Independent Duty Medical Technicians
  • Portsmouth, VA
National Provider Identifier
1932085677
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
4000 Coast Guard Blvd
Portsmouth, VA 23703-2199
Phone
(757) 483-8740
Fax
(757) 686-2122
NPI assigned
Aug 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

4000 Coast Guard Blvd
Portsmouth, VA 23703-2199

Mailing address

4000 Coast Guard Blvd
Portsmouth, VA 23703-2199
Phone (757) 483-8740

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

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1932085677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032199",
            "telephone_number": "757-483-8740",
            "fax_number": "757-686-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032199",
            "telephone_number": "757-483-8740",
            "fax_number": "757-686-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUBI",
        "first_name": "STEPHEN",
        "middle_name": "AKENA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.