Organization Active NPI

Medicine and Nephrology Associates

  • Nephrology Physician
  • Los Alamitos, CA
National Provider Identifier
1114151958
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MEDICINE AND NEPHROLOGY ASSOCIATES
Practice address
10941 Bloomfield St Ste a
Los Alamitos, CA 90720-6702
Phone
(562) 596-1667
Fax
(562) 596-7514
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Jack Rubin, MDNPI 1700882479
Title
Partner
Phone
(562) 596-1667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

10941 Bloomfield St Ste a
Los Alamitos, CA 90720-6702

Mailing address

10941 Bloomfield St Ste a
Los Alamitos, CA 90720-6702
Phone (562) 596-1667

Other practice location 1

13132 Studebaker Rd Ste 9
Norwalk, CA 90650-2575
Phone (562) 596-1667

Other practice location 2

1045 Atlantic Ave Ste 915
Long Beach, CA 90813-3427
Phone (562) 596-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000629 CA Part B Supplier - Clinic/Group Practice 8022164342 Receives reassigned benefits from 7 practitioners
Practice locations: Long Beach, CA; Los Alamitos, CA; Norwalk, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0869530Medical and Nephrology Associates10941 Bloomfield St Ste a, Los Alamitos, CA 90720Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1114151958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 BLOOMFIELD ST STE A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206702",
            "telephone_number": "562-596-1667",
            "fax_number": "562-596-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 BLOOMFIELD ST STE A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206702",
            "telephone_number": "562-596-1667",
            "fax_number": "562-596-7514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13132 Studebaker Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906502575",
            "country_code": "US",
            "telephone_number": "562-596-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 Atlantic Ave Ste 915",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133427",
            "country_code": "US",
            "telephone_number": "562-596-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICINE AND NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "562-596-1667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.