Individual provider Active NPI

Rita H Rubinstein, MD

  • Family Medicine Physician
  • Brea, CA
National Provider Identifier
1922179639
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A31647 Issued in CA
Practice address
410 W Central Ave Ste 207
Brea, CA 92821-3010
Phone
(714) 990-9421
Fax
(714) 990-1475
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A31647 CA Primary

Addresses

Primary practice location

410 W Central Ave Ste 207
Brea, CA 92821-3010

Mailing address

410 W Central Ave Ste 207
Brea, CA 92821-3010
Phone (714) 990-9421

Other practice location 1

340 W Central Ave
#138
Brea, CA 92821
Phone (714) 990-9421

Other identifiers 1

IdentifierTypeStateIssuer
00A316470MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000101 CA Practitioner - Family PracticePractitioner - PathologyPractitioner - Internal MedicinePractitioner - Dermatology 5092979559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine, Pathology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashish Bhavsar MD IncGroup PAC ID 6305168311, 2 clinicians

Practice addresses (Care Compare)

2720 N Harbor Blvd
Suite 350
Fullerton, CA 92835-2602
Phone (714) 529-8923

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31647CAMDPsychologist
A31647CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashish Bhavsar, M.D., Inc. Family Medicine CurrentSince Dec 4, 2023 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

2720 N Harbor Blvd
Ste 350
Fullerton, CA 92835
Phone (714) 529-8923

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922179639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE STE 207",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213010",
            "telephone_number": "714-990-9421",
            "fax_number": "714-990-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE STE 207",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213010",
            "telephone_number": "714-990-9421",
            "fax_number": "714-990-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 W Central Ave",
            "address_2": "#138",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "92821",
            "country_code": "US",
            "telephone_number": "714-990-9421",
            "fax_number": "714-990-1475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "RITA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A31647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A316470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.