Active NPI
Alex Ivan Rubio
- Dental Assistant
- Compton, CA
National Provider Identifier
1942975735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 1633 S Alameda St Ste 101
Compton, CA 90220-4976 - Phone
- (310) 627-5600
- NPI assigned
- Aug 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
1633 S Alameda St Ste 101
Compton, CA 90220-4976
Mailing address
15716 S Lorella Ave
Gardena, CA 90248-2529
Phone (310) 627-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | CA | NA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | na | Other | |
| CONNECT URL | NA | Direct |
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": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1942975735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15716 S LORELLA AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902482529",
"telephone_number": "310-627-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 S ALAMEDA ST STE 101",
"city": "COMPTON",
"state": "CA",
"postal_code": "902204976",
"telephone_number": "310-627-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIO",
"first_name": "ALEX",
"middle_name": "IVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "na",
"affiliation": "N",
"endpointDescription": "na",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "ba",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "na",
"address_1": "1633 S Alameda St Ste 101",
"city": "Compton",
"state": "CA",
"country_code": "US",
"postal_code": "902204976",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "1633 S Alameda St Ste 101",
"city": "Compton",
"state": "CA",
"country_code": "US",
"postal_code": "902204976",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.