Organization Active NPI

Peter R. Rubenstein M D a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
National Provider Identifier
1881734234
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G19156 Issued in CA
Legal business name
PETER R. RUBENSTEIN M D A MEDICAL CORPORATION
Practice address
18411 Clark St
Suite 307
Tarzana, CA 91356-3506
Phone
(818) 708-0700
Fax
(818) 609-0918
NPI assigned
Feb 7, 2007
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Peter R Rubenstein, M.D., F.A.C.O.G
Title
M.D.
Phone
(818) 708-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G19156 CA Primary

Addresses

Primary practice location

18411 Clark St
Suite 307
Tarzana, CA 91356-3506

Mailing address

18411 Clark St
Suite 307
Tarzana, CA 91356-3506
Phone (818) 708-0700

Other identifiers 2

IdentifierTypeStateIssuer
00G191560MedicaidCA
00G191561MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1881734234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "address_2": "SUITE 307",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563506",
            "telephone_number": "818-708-0700",
            "fax_number": "818-609-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "address_2": "SUITE 307",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563506",
            "telephone_number": "818-708-0700",
            "fax_number": "818-609-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R. RUBENSTEIN M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-708-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.O.G"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G19156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G191560",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G191561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.