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ELYSSA M. RUBIN M.D.
NPI 1578738282
Pediatrics - Pediatric Hematology-Oncology in Orange, CA

Active since April 23, 2008PECOS Enrolled
455 S MAIN ST, ORANGE, CA 92868(714) 516-4348(714) 532-8699 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elyssa M. Rubin M.d. NPPES

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

ELYSSA M. RUBIN M.D. (NPI 1578738282) is an individual pediatric hematology-oncology provider in Orange, California, licensed in California (A88460) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578738282
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameELYSSA M. RUBINCredential: M.D.
Location Address455 S MAIN STOrange, CA 92868-3835
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 516-4348 · Fax (714) 532-8699
Phone(714) 516-4348
Fax(714) 532-8699
Sole ProprietorNo
Enumeration DateApril 23, 2008
✔ NPI 1578738282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A88460
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
455 S MAIN ST, Orange, CA 92868
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyssa M. Rubin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elyssa Rubin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Of Orange County
1.0 mi
Pediatrics
1201 W LA VETA AVE
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Of Orange County
  • 190 clinicians in this Medicare group
NPI 1275975104 (714) 509-8649

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

Other Providers at the Same Location NPPES 20

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

PEDIATRIC SUBSPECIALTY FACULTY, INC.
Surgery (Pediatric Surgery)
455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868
Orange County (714) 364-4050
PEI LIN CHANG M.D.
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 558-2462
JENNIFER MICHELLE SHIVELY N.P.
Nurse Practitioner (Pediatrics, Critical Care)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 204-3277
ANTOINE SOLIMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4511
DR. JEFFREY H HO D.O.
Pediatrics (Pediatric Gastroenterology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4099
DR. MARITA FORTADES MD
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8767
DR. SHARON KIM MD
Psychiatry & Neurology (Neurology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-7601
MS. NANCY ANN VARNI CPNP
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8634

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 Elyssa Rubin's NPI number?

The NPI number for Elyssa Rubin is 1578738282. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Elyssa Rubin located?

Elyssa Rubin practices at 455 S Main St, Orange, CA 92868. The listed phone number is (714) 516-4348.

What is Elyssa Rubin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Elyssa Rubin enrolled in Medicare?

Yes. Elyssa Rubin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elyssa Rubin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyssa Rubin reassigns Medicare benefits to Children's Hospital Of Orange County (Orange, CA). The 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 Elyssa Rubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elyssa Rubin was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.