Individual provider Active NPI

Sofi Rubio, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1972123180
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014399 Issued in CA
Practice address
2208 W 7TH St
Los Angeles, CA 90057-4002
Phone
(213) 384-3434
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014399 CA Primary

Addresses

Primary practice location

2208 W 7TH St
Los Angeles, CA 90057-4002

Mailing address

PO Box
Los Angeles, CA 90074-9399
Phone (213) 399-2727

Other practice location 1

122 E Washington Blvd
Los Angeles, CA 90015-3601
Phone (213) 749-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120002480 CA Practitioner - Nurse Practitioner 8325459431 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Monte Clinica Medica General Medical Center, Inc CurrentSince Aug 6, 2020 Accepting new patients
Samaritana Medical Clinic,Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

1034 Huntington Dr
Duarte, CA 91010
Phone (626) 256-3638

11001 Main St
Ste 301
El Monte, CA 91731
Phone (626) 443-4300

122 E Washington Blvd
Los Angeles, CA 90015
Phone (213) 741-0400

510 S Alvarado St
Los Angeles, CA 90057
Phone (213) 483-3600

2208 W 7th St
Los Angeles, CA 90057
Phone (213) 384-3434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1972123180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749399",
            "telephone_number": "213-399-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574002",
            "telephone_number": "213-384-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153601",
            "country_code": "US",
            "telephone_number": "213-749-6500",
            "fax_number": "213-741-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "SOFI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.