Individual provider Active NPI

Sally J Rubenstone, MD

  • Internal Medicine Physician
  • Palo Alto, CA
National Provider Identifier
1235239740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G53652 Issued in CA
Practice address
4153 El Camino Way Ste B
Palo Alto, CA 94306-4034
Phone
(650) 857-0226
Fax
(650) 857-0264
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G53652 CA Primary

Addresses

Primary practice location

4153 El Camino Way Ste B
Palo Alto, CA 94306-4034

Mailing address

240 Monroe Dr
#401
Mountain View, CA 94040-1067
Phone (650) 947-6716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G53652CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235239740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MONROE DR",
            "address_2": "#401",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401067",
            "telephone_number": "650-947-6716",
            "fax_number": "650-857-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 EL CAMINO WAY STE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064034",
            "telephone_number": "650-857-0226",
            "fax_number": "650-857-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTONE",
        "first_name": "SALLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G53652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.