Active NPI
Denise Rubino, MD
- Interventional Pain Medicine Physician
- Lompoc, CA
National Provider Identifier
1912145533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- G56475
- Practice address
- 136 N 3Rd St
Lompoc, CA 93436-7002 - Phone
- (805) 736-1253
- Fax
- (805) 736-5355
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G58475 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | G56475 | CA | Primary |
Addresses
Primary practice location
136 N 3Rd St
Lompoc, CA 93436-7002
Mailing address
PO Box 2700
Lompoc, CA 93438-2700
Phone (805) 736-1253
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7801 Mission Ctr CT
Suite 310
San Diego, CA 92108-1316
Phone (619) 738-5566
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58475 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pouya Afshar MD Inc | Current | Accepting new patients | |
| Operation Samahan, Inc. | Past | Accepting new patients |
Locations
3111 Camino del Rio N
Ste 625
San Diego, CA 92108
Phone (619) 738-5566
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Opsam Health
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1194616268
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ridgeview Skilled Nursing Facility
- Skilled Nursing Facility
- San Diego, CA
- NPI 1669179925
Nursing home
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1912145533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2700",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934382700",
"telephone_number": "805-736-1253",
"fax_number": "805-736-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N 3RD ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367002",
"telephone_number": "805-736-1253",
"fax_number": "805-736-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "DENISE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G58475",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "G56475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.
- 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.