Active NPI
J. Nathan Rubin, M.D., F.a.C.C., Inc.
- Cardiovascular Disease Physician
- Sherman Oaks, CA
National Provider Identifier
1336262906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G53079
- Legal business name
- J. NATHAN RUBIN, M.D., F.A.C.C., INC.
- Practice address
- 4940 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1741 - Phone
- (818) 501-1455
- Fax
- (818) 528-1013
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. J. Nathan Rubin, M.D.
- Title
- Medical Doctor
- Phone
- (818) 501-1455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G53079 | CA | Primary |
Addresses
Primary practice location
4940 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1741
Mailing address
4940 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1741
Phone (818) 501-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G530790 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- J Nathan Rubin MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Cardiology Physician
- Sylmar, CA
- NPI 1982723276
Interoperability endpoints
- https://api.platform.athenahealth.com/2787/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Sherman Oaks, CA
- NPI 1437151180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257811200000",
"number": "1336262906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 VAN NUYS BLVD",
"address_2": "SUITE 200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031741",
"telephone_number": "818-501-1455",
"fax_number": "818-528-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 VAN NUYS BLVD",
"address_2": "SUITE 200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031741",
"telephone_number": "818-501-1455",
"fax_number": "818-528-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. NATHAN RUBIN, M.D., F.A.C.C., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2009-11-10",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "J.",
"authorized_official_middle_name": "NATHAN",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "818-501-1455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G53079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G530790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.