Rubio Reyes Punzalan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A66411 Issued in CA

Practice address

1241 Encino Dr
San Marino, CA 91108

Phone

(626) 201-9893

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Prestigious Health Services Inc

  • Community Based Hospice Care Agency
  • Pomona, CA
  • NPI 1952628653

  W-2 Managing Employee

  CMS ownership

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.

• Adventist Health Delano

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047
  Medicare reassignment NPD
• Thomas G Hirose MD Apc

  • Anatomic Pathology & Clinical Pathology Physician
  • Laguna Hills, CA
  • NPI 1275622748
  Medicare reassignment NPD
• Allergy Laboratory

  • Clinical Medical Laboratory
  • Tarzana, CA
  • NPI 1184854119
  NPD (past) Authorized official
• Adventist Health Delano

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1073645388
  NPD
• San Joaquin Community Hospital

  • Community/Retail Pharmacy
  • Delano, CA
  • NPI 1033644588
  NPD
• Unimed Health Center Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1700361029
  NPD
• Valley Vita Medical Center, Inc

  • Family Medicine Physician
  • Tarzana, CA
  • NPI 1003857434
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1093937708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 ENCINO DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081009",
            "telephone_number": "626-201-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 ENCINO DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "91108",
            "telephone_number": "626-201-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "RUBIO",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A66411",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A66411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PCH Pasadena, LLC
• Shadye Z Peyvan, LAC
• Irit Potter, MSOM, L.AC.
• William Michael Pritchard, O.D.
• Robert Hunter Pritchett, AMFT
• Annabelle Pusag
• Py Saddler, M.D., F.a.C.P., Inc
• Timothy J Pylko, M.D.
• Amy Lizeth Quiroz
• Radiological Associates Medical Group, Inc

• General Practice Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.