Active NPI
Ruben J Nevarez III
- Rehabilitation Practitioner
- Norwalk, CA
National Provider Identifier
1972737765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 12440 Firestone Blvd.
Suite 3025
Norwalk, CA 90650 - Phone
- (562) 929-6688
- Fax
- (562) 929-3868
- NPI assigned
- May 7, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
12440 Firestone Blvd.
Suite 3025
Norwalk, CA 90650
Mailing address
12440 Firstone Blvd
# 3025
Norwalk, CA 90650
Phone (562) 929-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7250A | Other | CA | TELECARE PROVIDER NUMBER |
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": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1972737765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 FIRSTONE BLVD",
"address_2": "# 3025",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-929-6688",
"fax_number": "562-929-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD.",
"address_2": "SUITE 3025",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-929-6688",
"fax_number": "562-929-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVAREZ",
"first_name": "RUBEN",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TELECARE PROVIDER NUMBER",
"identifier": "7250A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.