Individual provider Active NPI

Christopher A Rubio, PA-C

  • Surgical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1548577067
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4669 Issued in AZ
Practice address
3420 S Mercy Rd Ste 200
Gilbert, AZ 85297-0423
Phone
(480) 909-3786
Fax
(480) 728-8191
NPI assigned
Sep 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4669 AZ
Surgical Physician Assistant 363AS0400X 4669 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd Ste 200
Gilbert, AZ 85297-0423

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600
Phone (480) 728-4470

Other practice location 2

500 W Thomas Rd Ste 800
Phoenix, AZ 85013-4217
Phone (602) 406-1234

Other identifiers 1

IdentifierTypeStateIssuer
553373MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000090 AZ Practitioner - Physician Assistant 0941494587 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physician Group LLCGroup PAC ID 9234616095, 3 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5609

500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4669AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Sep 27, 2010 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Sep 27, 2010 Accepting new patients
Dignity Community Care Past Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

28230 N Tatum Blvd
Ste C4
Cave Creek, AZ 85331

2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234

2940 E Banner Gateway Dr
Ste 250
Gilbert, AZ 85234
Phone (480) 237-2570

18555 N 79th Ave
Ste E101
Glendale, AZ 85308
Phone (602) 631-3161

6620 E McKellips Rd
Ste 105
Mesa, AZ 85215
Phone (602) 922-9090

690 N Cofco Center Ct
Ste 290
Phoenix, AZ 85008
Phone (602) 631-3161

5355 E High St
Unit 113
Phoenix, AZ 85054

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

3033 N 44th St
Ste 360
Phoenix, AZ 85018

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1548577067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970423",
            "telephone_number": "480-909-3786",
            "fax_number": "480-728-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 S Dobson Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245600",
            "country_code": "US",
            "telephone_number": "480-728-4470",
            "fax_number": "480-728-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Thomas Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134217",
            "country_code": "US",
            "telephone_number": "602-406-1234",
            "fax_number": "602-406-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4669",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553373",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.