Sonny J Rubin, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A76500 Issued in CA

Practice address

455 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4254

Phone

(949) 933-7012

Fax

(949) 387-3380

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• S. Rubin, M.D. Pain, Inc

  • Interventional Pain Medicine Physician
  • Irvine, CA
  • NPI 1881993814
  NPD (past) Authorized official
• Sonny Rubin, M.D. Inc

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
  • NPI 1659772606
  NPD (past) Authorized official
• Crown Valley Outpatient Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Mission Viejo, CA
  • NPI 1225308257
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1891714374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634254",
            "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 STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634254",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SONNY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A76500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A765000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greene Donald Royster IV, M.D.
• Rozekoria, Inc.
• Rslynt Physical Therapy and Wellness PC
• Amairani Rubalcava
• Diana Fabiola Rubalcava, PA-C
• Jazmin Rubio, ASW
• Leslie Lim Rudolph, PA-C
• Richard L. Ruffalo, MD
• Rebecca Ilene Ruiz, MS
• Savanna Lilliana Ruiz

• Anesthesiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.