Individual provider Active NPI

Michelangelo A Rubino, D.C.

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1326061383
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30104 Issued in CA
Practice address
27600 Bouquet Canyon Rd Ste 106
Santa Clarita, CA 91350-3715
Phone
(661) 296-2131
NPI assigned
Jul 25, 2006
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30104 CA Primary

Addresses

Primary practice location

27600 Bouquet Canyon Rd Ste 106
Santa Clarita, CA 91350-3715

Mailing address

PO Box 222194
Newhall, CA 91322-2194
Phone (661) 644-9152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000628 CA Practitioner - Chiropractic 3577565662 Reassigns benefits to 1 organization
Practice locations: Santa Clarita, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27600 Bouquet Canyon Rd
Suite 106
Santa Clarita, CA 91350-3715
Phone (661) 296-2131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30104CAMDChiropractor
30104CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Chiropractic M Rubino DC Inc Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Irvine Chiropractic Inc. Past Accepting new patients

Locations

27600 Bouquet Canyon Rd
Ste 106
Saugus, CA 91350
Phone (661) 296-2131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1326061383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222194",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913222194",
            "telephone_number": "661-644-9152",
            "fax_number": "661-253-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 BOUQUET CANYON RD STE 106",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503715",
            "telephone_number": "661-296-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "MICHELANGELO",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.