Organization Active NPI

Bernard Rubin, O.D., Inc.

  • Optometrist
  • Rialto, CA
National Provider Identifier
1760524045
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BERNARD RUBIN, O.D., INC.
Practice address
1850 N Riverside Ave
Suite 100
Rialto, CA 92376-8071
Phone
(909) 421-3030
Fax
(909) 421-3059
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Bernard Rubin, O.D.
Title
Pres.
Phone
(909) 421-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1850 N Riverside Ave
Suite 100
Rialto, CA 92376-8071

Mailing address

1850 N Riverside Ave
Suite 100
Rialto, CA 92376-8071
Phone (909) 421-3030

Other identifiers 1

IdentifierTypeStateIssuer
GSD000170MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1760524045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "SUITE 100",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-421-3030",
            "fax_number": "909-421-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "SUITE 100",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-421-3030",
            "fax_number": "909-421-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD RUBIN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "909-421-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.