NPIMap

Organization Active NPI

Elyse Rubenstein MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Santa Monica, CA
National Provider Identifier
1962716373
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION
Practice address
1328 16TH St
Santa Monica, CA 90404-1804
Phone
(310) 256-2425
NPI assigned
Jul 28, 2010
Organization subpart
Yes
Parent organization
ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Elyse Rubenstein, MDNPI 1508895095
Title
President
Phone
(310) 256-2425

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1328 16TH St
Santa Monica, CA 90404-1804

Mailing address

2980 N Beverly Glen Cir
Ste 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Elyse Rubenstein MD a PC2 organizations share this tax ID, including this one
Part of
Elyse Rubenstein MD a PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1962716373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041804",
            "telephone_number": "310-256-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2010-07-28",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-256-2425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.