MS. MYRA SEPULVEDA BUBY LCSW
NPI 1093747511
Social Worker in San Diego, CA

Q: What is Myra Buby's NPI number?

The NPI number for Myra Buby is 1093747511. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Myra Buby's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Myra Buby was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

2204 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Myra Sepulveda Buby Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MYRA SEPULVEDA BUBY LCSW (NPI 1093747511) is an individual social worker in San Diego, California, licensed in California (23172) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093747511

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. MYRA SEPULVEDA BUBYCredential: LCSW

Location Address2204 NATIONAL AVESan Diego, CA 92113-3615

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541

Phone(619) 515-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 7, 2006

Last NPPES UpdateMay 11, 2023

NPPES CertifiedMay 11, 2023

✔ NPI 1093747511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 23172

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2204 NATIONAL AVE, San Diego, CA 92113

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Myra Sepulveda Buby Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759430341

PECOS Enrollment IDI20190716003430

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASMIN LLANO MFT TRAINEE

Student in an Organized Health Care Education/Training Program