NPIMap

Individual provider Active NPI

Rubina Aqeel, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Upland, CA
National Provider Identifier
1407972490
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A53565 Issued in CA
Practice address
1183 E Foothill Blvd
Suite 260
Upland, CA 91786-4049
Phone
(909) 579-6466
NPI assigned
Mar 21, 2007
Last updated
Apr 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A53565 CA Primary

Addresses

Primary practice location

1183 E Foothill Blvd
Suite 260
Upland, CA 91786-4049

Mailing address

12624 Vaquero CT
Rancho Cucamonga, CA 91739-9111
Phone (909) 579-6466

Other identifiers 1

IdentifierTypeStateIssuer
00A535650MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000437 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 0941386841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians

Practice addresses (Care Compare)

1183 E Foothill Blvd
Suite 260
Upland, CA 91786-4084
Phone (909) 579-6466

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 865-9500

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53565CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Services of California Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Rubina Aqeel MD Inc Endocrinology, Diabetes & Metabolism CurrentSince Apr 30, 2003 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Fatima H. Hakkak D.O., Inc. PastSince Mar 13, 2022 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1183 E Foothill Blvd
Ste 260
Upland, CA 91786
Phone (909) 579-6466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1407972490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 VAQUERO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399111",
            "telephone_number": "909-579-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 E FOOTHILL BLVD",
            "address_2": "SUITE 260",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864049",
            "telephone_number": "909-579-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQEEL",
        "first_name": "RUBINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A53565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A535650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.