JACK RUBIN M.D. NPI 1700882479

NPI Information

  • NPI: 1700882479
  • Provider Name: JACK RUBIN, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10941 BLOOMFIELD ST
    SUITE A
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 596-1667

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NPI Details

Jack Rubin, M.D. is a nephrology internal medicine in Los Alamitos, CA with 55 years of experience. The provider is 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. Jack Rubin, M.D. NPI is 1700882479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10941 BLOOMFIELD ST
SUITE A
LOS ALAMITOS, CA
ZIP 90720-530
Phone: (562) 596-1667
Fax: (562) 596-7514

The NPI 1700882479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Urinalysis, manual test (HCPCS:81002)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)

The enumeration date for this NPI number is 6/27/2005 and was last updated on 11/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineG70182CALIFORNIANo
2207RN0300XInternal MedicineNephrologyG70182CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B29954MEDICARE UPIN
2W14462MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G701820MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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