Individual provider Active NPI

Irwin Ruben, M.D.

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1386660645
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G22719 Issued in CA
Practice address
416 N Bedford Dr
Ste 104
Beverly Hills, CA 90210-4322
Phone
(310) 275-7219
Fax
(310) 275-0953
NPI assigned
Jul 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G22719 CA Primary

Addresses

Primary practice location

416 N Bedford Dr
Ste 104
Beverly Hills, CA 90210-4322

Mailing address

521 N June St
Los Angeles, CA 90004-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000652 CA Practitioner - Psychiatry 8325207087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 N Bedford Dr
Suite 104
Beverly Hills, CA 90210-4308
Phone (310) 275-7219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G22719CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin Ruben M.D. a Medical Corporation Psychiatry CurrentSince Jan 1, 1973 Accepting new patients

Locations

416 N Bedford Dr
Ste 104
Beverly Hills, CA 90210
Phone (310) 275-7219

Organizations & group practices 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386660645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N JUNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "STE 104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "310-275-7219",
            "fax_number": "310-275-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G22719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.