ANTONIO BUENROSTRO RUBIO PA
NPI 1205907409
Physician Assistant - Surgical in Fresno, CA

Active since November 11, 2006PECOS EnrolledAccepts Medicare Assignment
2210 E ILLINOIS AVE, SUITE 401, FRESNO, CA 93701(559) 320-0531(559) 320-0539 Get Directions Write a Review

NPPES record last updated: December 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Buenrostro Rubio Pa NPPES

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

ANTONIO BUENROSTRO RUBIO PA (NPI 1205907409) is an individual surgical provider in Fresno, California, licensed in California (PA16270) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205907409
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANTONIO BUENROSTRO RUBIOCredential: PA
Location Address2210 E ILLINOIS AVE, SUITE 401Fresno, CA 93701-2125
Mailing Address4910 E Clinton Way, Suite 101Fresno, CA 93727-1560 · (559) 443-2682 · Fax (559) 443-2681
Fax(559) 320-0539
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 11, 2006
Last NPPES UpdateDecember 3, 2011
NPI 1205907409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA16270
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA16270 (CA)
2210 E ILLINOIS AVE, Fresno, CA 93701

Other Identifiers 2

Medicare UPINP80876CA
MedicaidPA16270CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antonio Buenrostro Rubio Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870658826
PECOS Enrollment IDI20090209000219
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
2210 E ILLINOIS AVE, SUITE 406
FRESNO, CA 93701
Nurse Practitioner
2210 E ILLINOIS AVE
FRESNO, CA 93701
Pharmacy (Community/Retail Pharmacy)
2210 E ILLINOIS AVE, SUITE 101
FRESNO, CA 93701
Pediatrics
2210 E ILLINOIS AVE, SUITE 206
FRESNO, CA 93701
Internal Medicine (Cardiovascular Disease)
2210 E ILLINOIS AVE, SUITE 508
FRESNO, CA 93701
Obstetrics & Gynecology
2210 E ILLINOIS AVE, SUITE 406
FRESNO, CA 93701
Obstetrics & Gynecology (Gynecology)
2210 E ILLINOIS AVE, #201
FRESNO, CA 93701
Physician Assistant (Medical)
2210 E ILLINOIS AVE, SUITE 201
FRESNO, CA 93701

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 Antonio Rubio's NPI number?

The NPI number for Antonio Rubio is 1205907409. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Where is Antonio Rubio located?

Antonio Rubio practices at 2210 E Illinois Ave Suite 401, Fresno, CA 93701. The listed phone number is (559) 320-0531.

What is Antonio Rubio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Antonio Rubio enrolled in Medicare?

Yes. Antonio Rubio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonio Rubio was last updated on December 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.