Organization Active NPI

Sonny Rubin, M.D. Inc

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1659772606
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A76500 Issued in CA
Legal business name
SONNY RUBIN, M.D. INC
Practice address
455 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4241
Phone
(949) 933-7012
Fax
(949) 387-3380
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Sonny Rubin, MDNPI 1891714374
Title
President
Phone
(949) 933-7012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X A76500 CA Primary

Addresses

Primary practice location

455 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4241

Mailing address

455 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4241
Phone (949) 933-7012

Other identifiers 1

IdentifierTypeStateIssuer
A76500OtherCALICENSE

National Provider Directory

National Provider Directory

Locations

455 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 574-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1659772606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "address_2": "SUITE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "address_2": "SUITE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY RUBIN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-933-7012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A76500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A76500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.