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

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: October 18, 2026.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Myra Buby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Surgical
1809 NATIONAL AVE
San Diego, CA 92113
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Student in an Organized Health Care Education/Training Program
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Clinic/Center (Federally Qualified Health Center (FQHC))
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Counselor (Professional)
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Psychiatry & Neurology (Psychiatry)
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Nurse Practitioner (Psychiatric/Mental Health)
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Psychiatry & Neurology (Psychiatry)
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Psychiatry & Neurology (Psychiatry)
2204 NATIONAL AVE
SAN DIEGO, CA 92113
Clinic/Center (Mental Health (Including Community Mental Health Center))
2204 NATIONAL AVE
SAN DIEGO, CA 92113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Myra Buby located?

Myra Buby practices at 2204 National Ave, San Diego, CA 92113. The listed phone number is (619) 515-2300.

What is Myra Buby's specialty?

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

Is Myra Buby enrolled in Medicare?

Yes. Myra Buby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Myra Buby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myra Buby reassigns Medicare benefits to Family Health Centers Of San Diego, Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Myra Buby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.