VICTORIA COVARRUBIAS
NPI 1104660521
Physician Assistant in Upland, CA

Q: What is Victoria Covarrubias's NPI number?

The NPI number for Victoria Covarrubias is 1104660521. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Q: What is Victoria Covarrubias's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment

999 SAN BERNARDINO RD, UPLAND, CA 91786(909) 985-2811 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Victoria Covarrubias NPPES

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

VICTORIA COVARRUBIAS (NPI 1104660521) is an individual physician assistant in Upland, California, licensed in California (PA65078) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104660521

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVICTORIA COVARRUBIAS

Location Address999 SAN BERNARDINO RDUpland, CA 91786-4920

Mailing Address999 San Bernardino RdUpland, CA 91786-4920 · (909) 985-2811

Phone(909) 985-2811

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 20, 2024

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1104660521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA65078

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

999 SAN BERNARDINO RD, Upland, CA 91786

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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

Victoria Covarrubias 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 ID9830624220

PECOS Enrollment IDI20241121003173

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEPHANIE J RASMUSSEN NP

Nurse Practitioner