Individual provider Active NPI

Judith F Rubin, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1518077452
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G70448 Issued in CA
Practice address
3978 Sorrento Valley Blvd
Suite 310
San Diego, CA 92121-1436
Phone
(858) 866-6342
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G70448 CA Primary
Family Medicine Physician 207Q00000X G704480 CA
Family Medicine Physician 207Q00000X MD60222866 WA

Addresses

Primary practice location

3978 Sorrento Valley Blvd
Suite 310
San Diego, CA 92121-1436

Mailing address

3978 Sorrento Valley Blvd
Suite 310
Sorrento Valley, CA 92121
Phone (858) 866-6342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70448CAMDPharmacist
G70448CAMDFamily Medicine Physician
G704480CAMDFamily Medicine Physician
MD60222866WAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1518077452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3978 SORRENTO VALLEY BLVD",
            "address_2": "SUITE 310",
            "city": "SORRENTO VALLEY",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-866-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 SORRENTO VALLEY BLVD",
            "address_2": "SUITE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211436",
            "telephone_number": "858-866-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JUDITH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G70448",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G704480",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60222866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.