Jack Rubin MD, a Prof Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

JACK RUBIN MD, A PROF CORPORATION

Practice address

10941 Bloomfield St
Los Alamitos, CA 90720-2530

Phone

(562) 596-1667

NPI assigned

Aug 10, 2007

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eva Pleitez

Title

Manager

Phone

(562) 491-9060

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jack Rubin MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack Rubin M D a Professional Corporation

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1144416348
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Rubin, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1700882479

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1215129523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907201127",
            "telephone_number": "562-596-1667",
            "fax_number": "562-432-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 BLOOMFIELD ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202530",
            "telephone_number": "562-596-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK RUBIN MD, A PROF CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PLEITEZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-491-9060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Ishioka, DDS, MS
• Fides G Isidro, LCSW
• Stephanie Paola Islas Orgaz
• Amanda Brooke Israel, DDS
• Barry Dean Israel, DDS
• Michael John Jackson, MPT, B.ED.
• Suzanne Marie Jackson
• Jacob Rekem MD Inc
• Guadalupe Johanna Jacobo
• Vidhyut Girish Jani, PHARM.D.

• Nephrology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.