Jacob Nathan Rubin, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G53079 Issued in CA

Practice address

4940 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1741

Phone

(818) 501-1455

Fax

(818) 528-1013

NPI assigned

Aug 12, 2005

Last updated

Sep 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

University of Southern California Keck School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
• Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

Merit-based Incentive Payment System (MIPS)

Final score

92.92 of 100Reported as individual

Quality

77.67

Promoting interoperability

84

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2787/brand/1/csg/1/fhir/r4
• Direct secure messaging: j.rubin.1@2787.direct.athenahealth.com
• Direct secure messaging: soh-jrubin@primehealthcare.direct-ci.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Prime Healthcare Services - Encino LLC

  • Rehabilitation Hospital Unit
  • Encino, CA
  • NPI 1083888663

  Corporate Director

  CMS ownership
• Prime Healthcare Services - Encino LLC

  • Psychiatric Hospital Unit
  • Encino, CA
  • NPI 1629242201

  Corporate Director, Other

  CMS ownership

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.

• J. Nathan Rubin, M.D., F.a.C.C., Inc.

  • Cardiovascular Disease Physician
  • Sherman Oaks, CA
  • NPI 1336262906
  Medicare reassignment NPD
• Cardiovascular Specialties II Inc

  • Cardiology Technician
  • Van Nuys, CA
  • NPI 1568516623
  NPD
• J Nathan Rubin M.D.

  • Interventional Cardiology Physician
  • Sylmar, CA
  • NPI 1982723276
  NPD (past)

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Prime Healthcare Services - Sherman Oaks, LLC

  dba Sherman Oaks Hospital

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation
• Prime Healthcare Services - St Francis LLC

  dba St Francis Medical Center

  • General Acute Care Hospital
  • Lynwood, CA
  • NPI 1114547114
  Care Compare affiliation
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1437151180",
    "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": {
        "last_name": "RUBIN",
        "first_name": "JACOB",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G53079",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G53079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G530790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060011851",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W20900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "ZZZ94648Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST REGION",
            "identifier": "95354702891403B004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Roy, NP
• Tiffany Rochelle Roysden, COSMETOLOGY
• Luis A. Rubalcava, PH. D.
• Daniel Ruben, MD, MPH, MBA
• Karen K Rubenstein, KAREN RUBENSTEIN
• Victoria Jessica Rubio, CADC-11
• Valeriy Rubtsov, DDS
• Alexandria Rudolph, AGACNP
• Katherine May Rudoy
• Allyson Rueckert, MA

• Cardiovascular Disease Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.