SHOSHANNAH RUBIN
NPI 1972253276
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 393-4000 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shoshannah Rubin NPPES

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

SHOSHANNAH RUBIN (NPI 1972253276) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2022).

NPPES Registry Identity

NPI1972253276
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHOSHANNAH RUBIN
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2022
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1972253276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

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

Shoshannah Rubin 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 ID7618497397
PECOS Enrollment IDI20250225002217
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 20

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

Psychiatry & Neurology (Psychiatry)
401 BICENTENNIAL WAY, DEPARTMENT OF PSYCHIATRY
SANTA ROSA, CA 95403
Family Medicine
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Family Medicine
401 BICENTENNIAL WAY, SUITE 130
SANTA ROSA, CA 95403
Family Medicine
401 BICENTENNIAL WAY, SUITE 130
SANTA ROSA, CA 95403
Registered Nurse
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Nurse Practitioner (Family)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Nurse Practitioner (Women's Health)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Nurse Practitioner (Obstetrics & Gynecology)
401 BICENTENNIAL WAY, SUITE 210
SANTA ROSA, CA 95403

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 Shoshannah Rubin's NPI number?

The NPI number for Shoshannah Rubin is 1972253276. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Shoshannah Rubin located?

Shoshannah Rubin practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.

What is Shoshannah Rubin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shoshannah Rubin enrolled in Medicare?

Yes. Shoshannah Rubin 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 Shoshannah Rubin was last updated on March 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.