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Roy Barry Rubin

Anesthesiology

Allopathic & Osteopathic Physicians

3315 Watt Ave, Sacramento, CA 95821-3600

PECOS Enrollment

Based on the most recent information from CMS, provider Roy Barry Rubin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427042258
Provider Type
Individual
Full Name
Rubin, Roy Barry
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/8/2005
Last Updated
12/8/2010

Contact Information

Practice Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-6800

(916) 481-1881

Mailing Location

PO Box 660910, Sacramento, CA 95866-0910

(916) 481-6800

(916) 481-1881

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License A24655 California

Provider Identifiers

ID	Description	Issuer
ID GR0028370	Description Medicaid	Issuer Unlisted California

Roy Barry Rubin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Jones, Brian Robert

Heyer, Amardeep Singh

Zhou, Michael Shu-Jie

Gunz, Edward F

Whalen, David Paul

Dehghani, Sepehr

English, Brett C

Paddock, Karen Louise

Leopold, Gary A

Collins, Charles F