Individual provider Active NPI

Paulina Maria Bobenrieth, RN, PHN, MPH

  • Registered Nurse
  • Chula Vista, CA
National Provider Identifier
1992826515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
CA460199 Issued in CA
Practice address
690 Oxford St
Chula Vista, CA 91911-7111
Phone
(619) 409-3128
Fax
(619) 409-3110
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X CA460199 CA Primary

Addresses

Primary practice location

690 Oxford St
Chula Vista, CA 91911-7111

Mailing address

690 Oxford St
Chula Vista, CA 91911-7111
Phone (619) 409-3128

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
CA460199CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992826515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OXFORD ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117111",
            "telephone_number": "619-409-3128",
            "fax_number": "619-409-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OXFORD ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117111",
            "telephone_number": "619-409-3128",
            "fax_number": "619-409-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBENRIETH",
        "first_name": "PAULINA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "RN, PHN, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "CA460199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

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.

Verify at the official NPI Registry.