Rick a Rubin MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G36791 Issued in CA

Legal business name

RICK A RUBIN MD INC

Practice address

2121 Wilshire Blvd
201
Santa Monica, CA 90403-5720

Phone

(310) 264-7300

Fax

(310) 828-8626

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Rick Alan Rubin, M.D.

Title

President

Phone

(310) 612-6589

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rickey Alan Rubin, M.D.

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1174691174
  Medicare reassignment NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1104831569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "address_2": "535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013005",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035720",
            "telephone_number": "310-264-7300",
            "fax_number": "310-828-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK A RUBIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-612-6589",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G36791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G367910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G367910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Richardson, DDS
• Luther Richert
• Kama Richetta, LMFT
• Virginia Ellen Richey, LMFT
• Mary Lynn Richmond, MSW, ASW
• Rick Delamarter, M.D., Inc.
• Diana Rickard, M.D.
• Lindsay Rickel
• Nicole Teresa Riddle, PSY.D.
• Sandra Riediger, DC

• Anesthesiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.