Individual
DR. JACOB NATHAN RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1741
(818) 501-1455
(818) 528-1013
Mailing address
4940 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1741
(818) 501-1455
(818) 528-1013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G53079
CA
207RI0011X
Interventional Cardiology Physician
G53079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G530790
—
CA
01
—
060011851
RAILROAD MEDICARE
CA
01
—
95354702891403B004
TRICARE WEST REGION
CA
01
—
W20900
MEDICARE GROUP NUMBER
CA
01
—
ZZZ94648Z
BLUE SHEILD
CA
Enumeration date
08/12/2005
Last updated
09/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us