Active NPI
Judith F Rubin, MD
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1518077452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G70448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 70448 | CA | MD | Pharmacist |
| G70448 | CA | MD | Family Medicine Physician |
| G704480 | CA | MD | Family Medicine Physician |
| MD60222866 | WA | MD | Family 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.