Nicole Rubin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

28516 Issued in CA

Practice address

1932 14TH St
Santa Monica, CA 90404-4605

Phone

(858) 334-5445

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nikki Rubin Speech Therapy, Corp.

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1528719697
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1629664610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GLENDON AVE APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258423",
            "telephone_number": "858-334-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 14TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044605",
            "telephone_number": "858-334-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Glendon Ave Apt 304",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900258423",
            "country_code": "US",
            "telephone_number": "858-334-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Rowshanrad, PHARM.D.
• Czarina J. Roxas, M.D.
• Amit Rozen
• Alan Glen Rubenstein, DDS
• Elyse Joan Rubenstein, MD
• Todd Gabriel Rubin, MD, PHD
• Allison Rubinowitz
• Adam Rubio
• Erica Nicole Ruccia, APRN-CNP
• Matthew A Ruderman, PH.D.

• Speech-Language Pathologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.