Organization Active NPI

Rubina Aqeel MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Upland, CA
National Provider Identifier
1902847726
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A53565 Issued in CA
Legal business name
RUBINA AQEEL MD INC
Practice address
1183 E Foothill Blvd
Ste 260
Upland, CA 91786-4049
Phone
(909) 579-6466
Fax
(909) 579-6476
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Rubina Aqeel, MDNPI 1407972490
Title
MD
Phone
(909) 579-6466

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A53565 CA Primary

Addresses

Primary practice location

1183 E Foothill Blvd
Ste 260
Upland, CA 91786-4049

Mailing address

12624 Vaquero CT
Rancho Cucamonga, CA 91739
Phone (909) 579-6466

Other identifiers 1

IdentifierTypeStateIssuer
00A535650MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000326 CA Part B Supplier - Clinic/Group Practice 2961588868 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA; Pomona, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2042811Rubina Aqeel MD1183 E Foothill Blvd Ste 260, Upland, CA 91786Certificate of waiverJun 19, 2028

National Provider Directory

National Provider Directory

Locations

1183 E Foothill Blvd
Ste 260
Upland, CA 91786
Phone (909) 579-6466

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1902847726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 VAQUERO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91739",
            "telephone_number": "909-579-6466",
            "fax_number": "909-579-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 E FOOTHILL BLVD",
            "address_2": "STE 260",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864049",
            "telephone_number": "909-579-6466",
            "fax_number": "909-579-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINA AQEEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "AQEEL",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-579-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A53565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A535650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.