JACK RUBIN M D A PROFESSIONAL CORPORATION
NPI 1144416348
Internal Medicine - Nephrology in Long Beach, CA

Q: What is Jack Rubin M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since September 20, 2007

1045 ATLANTIC AVE, SUITE 915, LONG BEACH, CA 90813(562) 596-1667 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jack Rubin M D A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK RUBIN M D A PROFESSIONAL CORPORATION (NPI 1144416348) is a healthcare organization registered as a nephrology in Long Beach, California and active in the NPI registry since September 2007. The organization lists Jack Rubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1144416348

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameJACK RUBIN M D A PROFESSIONAL CORPORATION

Location Address1045 ATLANTIC AVE, SUITE 915Long Beach, CA 90813-3408

Mailing AddressPo Box 1127Los Alamitos, CA 90720-1127

Phone(562) 596-1667

Organization SubpartNo

Authorized OfficialJack RubinOwner · (562) 299-5239

Enumeration DateSeptember 20, 2007

Last NPPES UpdateDecember 9, 2015

✔ NPI 1144416348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

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.

1045 ATLANTIC AVE, Long Beach, CA 90813

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Other Identifiers 2

MedicaidGR0084691CA

Medicare PINW14462ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Rubin M D A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jack Rubin M D A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Rubin, M.D.

Nephrology

NPI 1700882479

10941 BLOOMFIELD ST SUITE A
Los Alamitos, CA 90720

(562) 596-1667

✔ PECOS✔ Accepts Medicare7.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Rubin M D A Professional Corporation's NPI number?

The NPI number for Jack Rubin M D A Professional Corporation is 1144416348. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is Jack Rubin M D A Professional Corporation located?

Jack Rubin M D A Professional Corporation is located at 1045 Atlantic Ave Suite 915, Long Beach, CA 90813. The listed phone number is (562) 596-1667.

What is Jack Rubin M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jack Rubin M D A Professional Corporation enrolled in Medicare?

Yes. Jack Rubin M D A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack Rubin M D A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Jack Rubin M D A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jack Rubin M D A Professional Corporation was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.