Individual provider Active NPI

Sergio R Rubio, M.D.

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1639520935
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A154284 Issued in CA
Practice address
515 E Micheltorena St Ste C
Santa Barbara, CA 93103-4223
Phone
(805) 618-2109
Fax
(805) 324-6315
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A154284 CA Primary

Addresses

Primary practice location

515 E Micheltorena St Ste C
Santa Barbara, CA 93103-4223

Mailing address

515 E Micheltorena St Ste C
Santa Barbara, CA 93103-4223
Phone (805) 563-3234

Other identifiers 1

IdentifierTypeStateIssuer
A154284OtherCAMEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191002001919 CA Practitioner - Internal Medicine 7810227931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Care Consultants of Santa BarbaraGroup PAC ID 5698918522, 11 clinicians

Practice addresses (Care Compare)

515 E Micheltorena St
Suite C
Santa Barbara, CA 93103-4223
Phone (805) 563-3234

Hospital & facility affiliations

  • Assisted Home Health Home health agency, Santa Barbara, CA, CCN 058324
  • Vna Health Home health agency, Santa Barbara, CA, CCN 057163
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Consultants of Santa Barbara Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Sergio Rubio MD Inc Internal Medicine Current Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

515 E Micheltorena St
Ste C
Santa Barbara, CA 93103
Phone (805) 563-3234

400 W Pueblo St
Ofc
Santa Barbara, CA 93105
Phone (805) 569-7315

Interoperability endpoints

  • Direct secure messaging: sergio.rubio@5818357186564.direct.elationemr.com

Organizations & group practices 3

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 6

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1639520935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034223",
            "telephone_number": "805-563-3234",
            "fax_number": "805-569-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034223",
            "telephone_number": "805-618-2109",
            "fax_number": "805-324-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "SERGIO",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A154284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A154284",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.