JACK RUBIN M D A PROFESSIONAL CORPORATION (NPI# 1144416348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144416348 |
| Entity Type | Organization |
| Organization Name | JACK RUBIN M D A PROFESSIONAL CORPORATION |
| Practice Address |
1045 Atlantic Ave Suite 915 Long Beach CA 90813-3408 |
| Mailing Address |
Po Box 1127 Los Alamitos CA 90720-1127 |
| Practice Telephone | 5625961667 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | JACK RUBIN (OWNER) |
| Authorized Official Telephone | 5622995239 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0084691 | 05 |
| Street Address |
1045 ATLANTIC AVE SUITE 915 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294733 | Merrill M Knopf | Ophthalmology | 1045 Atlantic Ave, Ste 1007, Long Beach, CA 90813-3413 | 2005-06-08 |
| 1760928329 | Ps Ahuja Dental Corp | Dentist | 1045 Atlantic Ave, Ste 602, Long Beach, CA 90813-3408 | 2017-01-06 |
| 1821448028 | Cardiovascular Innovation and Research Center Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2016-06-17 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1508289158 | Healthy Foundations Medical Group | Pediatrics | 1045 Atlantic Ave, Ste 715, Long Beach, CA 90813-3408 | 2014-01-31 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1235436023 | Janet Do | Pediatrics | 1045 Atlantic Ave, #605, Long Beach, CA 90813-3408 | 2011-02-15 |
| 1578864211 | Amar S Kapoor M D Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2010-11-11 |
| 1063720324 | Coreen Marie Correa | Nurse Practitioner | 1045 Atlantic Ave, 508, Long Beach, CA 90813-3408 | 2010-09-21 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710140561 | Sapna Singh Patel | Internal Medicine | 2888 Long Beach Blvd Ste 235, Long Beach, CA 90806-1562 | 2008-07-02 |
| 1558558189 | Beach Medical Group Inc | Internal Medicine | 5318 E 2nd St Ste 100, Long Beach, CA 90803-5324 | 2007-09-27 |
| 1285767475 | Anna Jin | Internal Medicine | Lbvamc, 5901 E. Seventh Street, 11-111n Dialysis Unit (south 9th Floor), Long Beach, CA 90822 | 2007-03-14 |
| 1518985613 | Arvind J Mehta | Internal Medicine | 2785 Pacific Ave, Suite A, Long Beach, CA 90806-2612 | 2006-07-17 |
| 1730110495 | Southland Renal Medical Group, Inc. | Internal Medicine | 3300 E. South Street, Suite 308, Long Beach, CA 90805-4598 | 2006-07-05 |
| 1699772350 | George G Hon | Internal Medicine | 3610 Long Beach Blvd, Suite 201, Long Beach, CA 90807-4012 | 2005-07-07 |
| 1053317826 | Coast Nephrology Medical Group Inc. | Internal Medicine | 3780 Kilroy Airport Way, Ste 115, Long Beach, CA 90806-2458 | 2005-06-24 |
| 1659376606 | John T Hsieh | Internal Medicine | 3780 Kilroy Airport Way Ste 115, Long Beach, CA 90806 | 2005-06-16 |
| 1235600420 | Asn Long Beach Nephro Care LLC | Internal Medicine | 2888 Long Beach Blvd Ste 235, Long Beach, CA 90806-1562 | 2018-12-16 |
| 1245697325 | John Hsieh Md Inc | Internal Medicine | 3780 Kilroy Airport Way, 115, Long Beach, CA 90806-2457 | 2016-01-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on JACK RUBIN M D A PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.