SHOSHANNAH RUBIN
NPI 1972253276
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shoshannah Rubin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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.
SANTA ROSA, CA 95403
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.
Which organization bills Medicare for Shoshannah Rubin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shoshannah Rubin reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Shoshannah 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 Shoshannah Rubin was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shoshannah Rubin · NPI 1972253276
Student in an Organized Health Care Education/Training Program provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1972253276 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 393-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2022
## Record status
- **NPPES last updated:** March 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1972253276) · Data from the CMS NPPES public registry.