MS. REVONIA J TRUBY NP
NPI 1952436651
Clinical Nurse Specialist - Women's Health in Los Angeles, CA

Active since February 22, 2007
11905 SO CENTRAL AVE, #201, LOS ANGELES, CA 90059(323) 566-6911(323) 566-6896 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Revonia J Truby Np NPPES

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

MS. REVONIA J TRUBY NP (NPI 1952436651) is an individual women's health provider in Los Angeles, California, licensed in California (202745) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1952436651
Entity TypeIndividualFemale
Primary Taxonomy364SW0102X
Provider Legal NameMS. REVONIA J TRUBYCredential: NP
Location Address11905 SO CENTRAL AVE, #201Los Angeles, CA 90059
Mailing Address4203 Levelside AveLakewood, CA 90712 · (562) 421-4375 · Fax (323) 566-6896
Fax(323) 566-6896
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1952436651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SW0102X
License Licensed in CA · 202745
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP 1160 (CA)

Other Identifiers 1

MedicaidNP0011600CA

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 Revonia Truby's NPI number?

The NPI number for Revonia Truby is 1952436651. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Revonia Truby located?

Revonia Truby practices at 11905 So Central Ave #201, Los Angeles, CA 90059. The listed phone number is (323) 566-6911.

What is Revonia Truby's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Women's Health, with taxonomy code 364SW0102X.

When was this NPI record last updated?

The NPPES record for Revonia Truby was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.