Active NPI
Rita Rubin, RDN
- Registered Dietitian
- San Bernardino, CA
National Provider Identifier
1710643390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1254 S Waterman Ave Ste 28
San Bernardino, CA 92408-2857 - Phone
- (909) 763-2551
- Fax
- (866) 475-7480
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1254 S Waterman Ave Ste 28
San Bernardino, CA 92408-2857
Mailing address
1179 Via San Remo
Redlands, CA 92374-3983
Phone (909) 214-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glucosamigos PC | Dietitian, Registered | Current | Accepting new patients |
Locations
1254 S Waterman Ave
Ste 28
San Bernardino, CA 92408
Phone (909) 763-2551
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1710643390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 VIA SAN REMO",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743983",
"telephone_number": "909-214-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 S WATERMAN AVE STE 28",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082857",
"telephone_number": "909-763-2551",
"fax_number": "866-475-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "RITA",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.