J Nathan Rubin M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G53079 Issued in CA

Legal business name

J NATHAN RUBIN M.D.

Practice address

14124 Foothill Blvd
Sylmar, CA 91342-8049

Phone

(818) 367-1012

Fax

(818) 364-2909

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tawney Penuela, BSN, MBA

Title

Administrator General Manager

Phone

(818) 367-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

J Nathan Rubin MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• J. Nathan Rubin, M.D., F.a.C.C., Inc.

  • Cardiovascular Disease Physician
  • Sherman Oaks, CA
  • NPI 1336262906
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Nathan Rubin, M.D.

  • Cardiovascular Disease Physician
  • Sherman Oaks, CA
  • NPI 1437151180

  Interventional Cardiology

  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982723276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428049",
            "telephone_number": "818-367-1012",
            "fax_number": "818-364-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428049",
            "telephone_number": "818-367-1012",
            "fax_number": "818-364-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J NATHAN RUBIN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENUELA",
        "authorized_official_first_name": "TAWNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR GENERAL MANAGER",
        "authorized_official_telephone_number": "818-367-1012",
        "authorized_official_credential": "BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G53079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G530790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Ibaya
• Insight Health Corp (Olive View - UCLA Imaging Center)
• Tiffany E Isichei
• Musumi Iwanaga, PHARM.D.,RPH
• Izacare Behavior Solutions, Inc.
• Brandon Jackson, OTR/L
• Cameda Trichele Jackson, LPCC
• Robert Romulus Jackson I
• Erica N Jadesimi
• Miles Jakl, M.D.

• Interventional Cardiology Physician in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.