Active NPI
Gonzalo Antonio Covarrubias, M.D.
- Orthopaedic Surgery Physician
- San Juan Capistrano, CA
National Provider Identifier
1962572586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A32492
- Practice address
- 26801 Paseo Atrevida
San Juan Capistrano, CA 92675-1508 - Phone
- (949) 289-8150
- NPI assigned
- Nov 9, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A32492 | CA | Primary |
Addresses
Primary practice location
26801 Paseo Atrevida
San Juan Capistrano, CA 92675-1508
Mailing address
26801 Paseo Atrevida
San Juan Capistrano, CA 92675-1508
Phone (949) 289-8150
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32492 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962572586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26801 PASEO ATREVIDA",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751508",
"telephone_number": "949-289-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26801 PASEO ATREVIDA",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751508",
"telephone_number": "949-289-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVARRUBIAS",
"first_name": "GONZALO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A32492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
- Costco Wholesale Corporation (Costco Hearing Aid #429)
- Costco Wholesale Corporation
- Costco Wholesale Corporation (Costco Optical #429)
- Miki Christine Cotner, AMFT161620
- Gabriel Covarrubias, M.D.
- Gracia Covarrubias, MD
- Margaret A Creek, MFT, ATR-BC
- Richard Crocker, PHARMACIST
- Esther Cruz Larios, ASW
- Gloria Anne Cullinane, M.A., M.F.T.,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.