Organization Active NPI

Rubio R. Punzalan, MD, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
National Provider Identifier
1295941383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A66411 Issued in CA
Legal business name
RUBIO R. PUNZALAN, MD, INC.
Practice address
427 S Grand Oaks Ave
Pasadena, CA 91107-5011
Phone
(626) 201-9893
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rubio Reyes Punzalan, M.D.
Title
President
Phone
(626) 201-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X A66411 CA Primary

Addresses

Primary practice location

427 S Grand Oaks Ave
Pasadena, CA 91107-5011

Mailing address

427 S Grand Oaks Ave
Pasadena, CA 91107-5011
Phone (626) 201-9893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295941383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S GRAND OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075011",
            "telephone_number": "626-201-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S GRAND OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075011",
            "telephone_number": "626-201-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIO R. PUNZALAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNZALAN",
        "authorized_official_first_name": "RUBIO",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-201-9893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A66411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.