Individual provider Active NPI

Edward Rubinstein, DPM

  • Podiatrist
  • San Francisco, CA
National Provider Identifier
1063522472
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3529 Issued in CA
Practice address
2211 Post St
Ste 203
San Francisco, CA 94115-3467
Phone
(415) 474-5434
Fax
(415) 474-5559
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3529 CA Primary

Addresses

Primary practice location

2211 Post St
Ste 203
San Francisco, CA 94115-3467

Mailing address

2211 Post St
Ste 203
San Francisco, CA 94115-3467
Phone (415) 474-5434

Other identifiers 1

IdentifierTypeStateIssuer
3925622MedicaidCA

Other names 1

  • Edward Rubinstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000591 CA Practitioner - Podiatry 4587857214 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2211 Post St
San Francisco, CA 94115-3467
Phone (650) 787-2743

Hospital & facility affiliations

  • South Bay Home Health Care, LLC Home health agency, San Jose, CA, CCN 053174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3529CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dina Sverdlov MD a Professional Corporation PastSince Mar 29, 2002 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Bay Home Health Care LLCSan Jose, CA, CCN 053174 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (25%)
Jan 12, 2012
Jan 12, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1063522472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 POST ST",
            "address_2": "STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153467",
            "telephone_number": "415-474-5434",
            "fax_number": "415-474-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 POST ST",
            "address_2": "STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153467",
            "telephone_number": "415-474-5434",
            "fax_number": "415-474-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "EDWARD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "RUBINSTEIN",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.