M. Rachel Dubria, P.A.
Individual provider Active NPI Physician Assistant · Maywood, CA
NPI 1992991863 · NPPES record last updated Sep 24, 2007
Key facts
- NPI
- 1992991863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA14801 (CA)
- Practice address
- 5953 Atlantic Blvd
Maywood, CA 90270-3133 - Phone
- (323) 562-6170
- Fax
- (323) 562-6176
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120430000570 | CA | Practitioner - Physician Assistant | 3375705809 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14801 | CA | MD | Physician Assistant |
Interoperability endpoints
- rdubria702434@direct.ochin.org
- rdubira831830@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14801 | CA | Yes |
Addresses
Primary practice location
5953 Atlantic Blvd
Maywood, CA 90270-3133
Mailing address
5953 Atlantic Blvd
Maywood, CA 90270-3133
Phone (323) 562-6170
Other providers in Maywood, CA
- Clinica Medica de la Caridad Medical Group Inc
- Clinica Medica la Esperanza
- Blanca Cruz
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- Dean Ferdows MD Inc
- Maria Leilani Apostol Dy
- Eden Care Center
- Emmanuel Healthcare Center Pinecrest
- Neda Esmaili
- Esperanza Dental Care Inc
All providers in Maywood, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.