Organization Active NPI

Elyse Rubenstein MD a Professional Corporation

  • Rheumatology Physician
  • Santa Monica, CA
National Provider Identifier
1396923389
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ELYSE RUBENSTEIN MD A PROFESSIONAL CORPORATION
Practice address
1328 16TH St
Santa Monica, CA 90404-1804
Phone
(310) 256-2425
Fax
(310) 395-3218
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Elyse Rubenstein, MDNPI 1508895095
Title
President
Phone
(310) 256-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1328 16TH St
Santa Monica, CA 90404-1804

Mailing address

1328 16TH St
Santa Monica, CA 90404-1804
Phone (310) 256-2425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000467 CA Part B Supplier - Clinic/Group Practice 1456434380 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory
Tax ID family
Elyse Rubenstein MD a PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1328 16th St
Santa Monica, CA 90404
Phone (310) 256-2425

1328 16th St
Fl 3
Santa Monica, CA 90404
Phone (310) 393-8860

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1396923389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041804",
            "telephone_number": "310-256-2425",
            "fax_number": "310-395-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041804",
            "telephone_number": "310-256-2425",
            "fax_number": "310-395-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE RUBENSTEIN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-256-2425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.

Verify at the official NPI Registry.