Healthcare Provider Details

I. General information

NPI: 1982566964
Provider Name (Legal Business Name): KARINA C RUBIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 QUALITY DR
VACAVILLE CA
95688-9494
US

IV. Provider business mailing address

65 MOSSWOOD DR
SUISUN CITY CA
94585-1717
US

V. Phone/Fax

Practice location:
  • Phone: 707-624-4000
  • Fax:
Mailing address:
  • Phone: 707-290-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: